Dr Brian G Sapp, MD - Medicare Pediatrics in Pleasant Prairie, WI

Dr Brian G Sapp, MD is a medicare enrolled "Pediatrics" physician in Pleasant Prairie, Wisconsin. His current practice location is 12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 857-5000.

Dr Brian G Sapp is licensed to practice in Wisconsin (license number 71073) 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 1336189588.

Contact Information

Dr Brian G Sapp, MD
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227
(262) 857-5000
(262) 857-5001

Map and Direction




Physician's Profile

Full NameDr Brian G Sapp
GenderMale
SpecialityPediatrics
Location12500 Aurora Dr, Pleasant Prairie, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336189588
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 06/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7012241011
  • Enrollment ID: I20190625002816

Medical Identifiers

Medical identifiers for Dr Brian G Sapp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336189588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 71073 (Wisconsin)Primary
208000000XPediatrics 036-098944 (Illinois)Secondary

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 Brian G Sapp allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAmg Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972741759
PECOS PAC ID: 8527117027
Enrollment ID: O20100129000033

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 Brian G Sapp 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
Dr Brian G Sapp, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (262) 857-5000
Dr Brian G Sapp, MD
12500 Aurora Dr,
Pleasant Prairie, WI 53158-1227

Ph: (262) 857-5000

Reviews and Comments

Pediatrics Doctors in Pleasant Prairie, WI

Pamela S Cava, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9555 76th St, Suite 4106, Pleasant Prairie, WI 53158
Phone: 262-653-5437    Fax: 262-577-8715
Joyce E Turley, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9555 76th St, Pleasant Prairie, WI 53158
Phone: 262-577-8005    Fax: 262-577-8015

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.