David L Peloza, MD is a medicare enrolled "Allergy & Immunology" physician in Columbus, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Prairie Ridge Health Inc and his current practice location is
1515 Park Ave, Columbus, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 623-2200.
David L Peloza is licensed to practice in Wisconsin (license number 65024-20) 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 1053739714.
Physician's Profile
| Full Name | David L Peloza |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 11 Years |
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| Location | 1515 Park Ave, Columbus, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David L Peloza attended and graduated from University Of Wisconsin School Of Medicine in 2014
NPI Data:
- NPI Number: 1053739714
- Provider Enumeration Date: 03/31/2014
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294014601
- Enrollment ID: I20190814004149
Medical Identifiers
Medical identifiers for David L Peloza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053739714 | NPI | - | NPPES |
| 1053739714 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 65024-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prairie Ridge Health Inc | 6800791484 | 58 |
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. David L Peloza allows following entities to bill medicare on his behalf.
| Entity Name | Prairie Ridge Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777 |
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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. David L Peloza 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 Address | Practice Location Address |
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David L Peloza, MD
1515 Park Ave,
Columbus, WI 53925-2402
Ph: (920) 623-2200 | David L Peloza, MD
1515 Park Ave,
Columbus, WI 53925-2402
Ph: (920) 623-2200 |
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