Daniel P Duffy, MD - Medicare Family Practice in Cedarburg, WI

Daniel P Duffy, MD is a medicare enrolled "Family Medicine" physician in Cedarburg, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Columbia St Marys Hospital Milwaukee Inc and his current practice location is W62 N179 Washington Ave, Cedarburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 375-3555.

Daniel P Duffy is licensed to practice in Wisconsin (license number 29425) 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 1235191511.

Contact Information

Daniel P Duffy, MD
W62 N179 Washington Ave,
Cedarburg, WI 53012
(262) 375-3555
(262) 376-0275

Map and Direction




Physician's Profile

Full NameDaniel P Duffy
GenderMale
SpecialityFamily Practice
Experience37 Years
LocationW62 N179 Washington Ave, Cedarburg, 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:
  • Daniel P Duffy attended and graduated from Medical College Of Wisconsin in 1987
  NPI Data:
  • NPI Number: 1235191511
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 06/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6709894678
  • Enrollment ID: I20070313000386

Medical Identifiers

Medical identifiers for Daniel P Duffy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235191511NPI-NPPES
31548300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29425 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbia St Marys Hospital Milwaukee Inc5890604722279

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. Daniel P Duffy allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057

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. Daniel P Duffy 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
Daniel P Duffy, MD
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing,
Glendale, WI 53212-1082

Ph: (262) 375-3555
Daniel P Duffy, MD
W62 N179 Washington Ave,
Cedarburg, WI 53012

Ph: (262) 375-3555

Reviews and Comments


Family Medicine Doctors in Cedarburg, WI

Dr. Thomas John Shewczyk, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4922 Columbia Road, Cedarburg, WI 53012
Phone: 262-375-1580    Fax: 262-375-9452
Tracy M Geiger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W63n545 Hanover Ave, Cedarburg, WI 53012
Phone: 262-421-5133    Fax: 855-832-0258
Melanie M. Thompson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N143w6515 Pioneer Rd, Cedarburg, WI 53012
Phone: 262-377-6933    Fax: 262-376-2495
Donald J. Meyer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W62n248 Washington Ave, Cedarburg, WI 53012
Phone: 262-375-1380    Fax: 262-375-4438
Dr. Maria N Mendoza-lemes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W62n179 Washington Ave., Cedarburg, WI 53012
Phone: 262-375-3555    Fax: 262-376-0275
Mateusz Gwizdala, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N143w6515 Pioneer Rd, Cedarburg, WI 53012
Phone: 262-377-6933    

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.