David R Madenberg, DO in Lake Geneva, WI - Medicare Emergency Medicine

David R Madenberg, DO is a medicare enrolled "Emergency Medicine" physician in Lake Geneva, Wisconsin. His current practice location is N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 245-0535.

David R Madenberg is licensed to practice in Wisconsin (license number 23659-21) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780751495.

Contact Information

	David R Madenberg, DO
	N2950 State Road 67, Lake Geneva, WI 53147-2655
	(262) 245-0535
	(262) 245-2248

Map and Direction

Physician's Profile

Full Name	David R Madenberg
Gender	Male
Speciality	Emergency Medicine
Location	N2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780751495
Provider Enumeration Date: 11/29/2006
Last Update Date: 07/22/2014

Medicare PECOS Information:

PECOS PAC ID: 8729070131
Enrollment ID: I20040402000832

Medical Identifiers

Medical identifiers for David R Madenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780751495	NPI	-	NPPES
1780751495	Medicaid	WI
MADENDAV	Other	WI	MERCYCARE INSURANCE
30019800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	23659-21 (Wisconsin)	Primary

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 R Madenberg allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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 R Madenberg 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
David R Madenberg, DO N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535	David R Madenberg, DO N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535

Reviews and Comments

Emergency Medicine Doctors in Lake Geneva, WI

Dr. Cullen Timothy Kehoe, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248
Mitchell Sheley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 608-756-6871 Fax: 262-245-2248
Elena Caraman Krause, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248
Christopher M. Tanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248
Christy D. Short, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248
Geetha Priydarshini Krishnan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248
Dr. Kevin R Parciak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535

David R Madenberg, DO - Medicare Emergency Medicine in Lake Geneva, WI