Dallas Bogner, MD - Medicare Family Practice in Neenah, WI

Dallas Bogner, MD is a medicare enrolled "Family Medicine" physician in Neenah, Wisconsin. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 1380 Tullar Rd, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 727-3480.

Dallas Bogner is licensed to practice in Wisconsin (license number 48225) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396780144.

Contact Information

Dallas Bogner, MD
1380 Tullar Rd,
Neenah, WI 54956-4440
(920) 727-3480
(920) 727-3490

Map and Direction




Physician's Profile

Full NameDallas Bogner
GenderMale
SpecialityFamily Practice
Experience30 Years
Location1380 Tullar Rd, Neenah, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dallas Bogner graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1396780144
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 02/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547295487
  • Enrollment ID: I20220217000649

Medical Identifiers

Medical identifiers for Dallas Bogner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396780144NPI-NPPES
34683800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR.0034837 (Colorado)Secondary
207Q00000XFamily Medicine 48225 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centura Health-st Anthony North Health CampusWestminster, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342998

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dallas Bogner allows following entities to bill medicare on his behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dallas Bogner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dallas Bogner, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3200
Dallas Bogner, MD
1380 Tullar Rd,
Neenah, WI 54956-4440

Ph: (920) 727-3480

Reviews and Comments


Family Medicine Doctors in Neenah, WI

Krystina Marie Pischke,
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Medicare: Accepting Medicare Assignments
Practice Location: 1504 S Commercial St, Neenah, WI 54956
Phone: 920-729-6088    Fax: 920-729-6484
Stephen T Cruz, MD
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Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-727-5810    
Andrew Michael Dunn, D.O
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Practice Location: 333 N Green Bay Rd, Neenah, WI 54956
Phone: 920-729-6088    
Teresa L Rudolph, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1504 S Commercial St, Neenah, WI 54956
Phone: 920-729-6088    Fax: 920-729-6484
Erik A Emaus, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 411 Lincoln St, Neenah, WI 54956
Phone: 920-720-1781    Fax: 920-720-1790
Tomasz K Miaskowski, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-727-5810    
Mikayla Marie Unger, APNP
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Medicare: Medicare Enrolled
Practice Location: 130 2nd St, Neenah, WI 54956
Phone: 920-729-3100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.