Dr Arnold S Potek, MD is a medicare enrolled "General Practice" physician in Osceola, Wisconsin. His current practice location is
2600 65th Avenue, Osceola, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 294-2111.
Dr Arnold S Potek is licensed to practice in Wisconsin (license number 19145) 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 1932158920.
Physician's Profile
| Full Name | Dr Arnold S Potek |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 2600 65th Avenue, Osceola, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932158920
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 10/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 8022203819
- Enrollment ID: I20110301000472
Medical Identifiers
Medical identifiers for Dr Arnold S Potek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932158920 | NPI | - | NPPES |
| 19145 | Other | WI | STATE MEDICAL LICENSE |
| 406870000 | Medicaid | MN | |
| 31160200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 19145 (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. Dr Arnold S Potek allows following entities to bill medicare on his behalf.
| Entity Name | Healtheast Medical Research Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507 |
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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. Dr Arnold S Potek 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 |
|---|
Dr Arnold S Potek, MD
Po Box 218, 2600 65th Avenue,
Osceola, WI 54020-3024
Ph: (715) 294-2111 | Dr Arnold S Potek, MD
2600 65th Avenue,
Osceola, WI 54020-3024
Ph: (715) 294-2111 |
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