Dr Cullen Timothy Kehoe, DO - Medicare Emergency Medicine in Lake Geneva, WI

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Dr Cullen Timothy Kehoe, 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) 245-4990.

Dr Cullen Timothy Kehoe is licensed to practice in Wisconsin (license number 53435-21) 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 1013166925.

Contact Information

Dr Cullen Timothy Kehoe, DO
N2950 State Road 67,
Lake Geneva, WI 53147-2655
(262) 245-4990
(262) 245-2248

Map and Direction




Physician's Profile

Full NameDr Cullen Timothy Kehoe
GenderMale
SpecialityEmergency Medicine
LocationN2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013166925
  • Provider Enumeration Date: 09/16/2008
  • Last Update Date: 04/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5496808289
  • Enrollment ID: I20090727000342

Medical Identifiers

Medical identifiers for Dr Cullen Timothy Kehoe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013166925NPI-NPPES
1013166925MedicaidWI
1013166925OtherWIBCBSWI
KEHOECULOtherWIMERCYCARE INSURANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 11215 (North Dakota)Secondary
207P00000XEmergency Medicine 036122047 (Illinois)Secondary
207P00000XEmergency Medicine 53435-21 (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. Dr Cullen Timothy Kehoe allows following entities to bill medicare on his behalf.
Entity NameTrinity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083653752
PECOS PAC ID: 7911816020
Enrollment ID: O20031106000316

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 Cullen Timothy Kehoe 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 Cullen Timothy Kehoe, DO
N2950 State Road 67,
Lake Geneva, WI 53147-2655

Ph: (262) 245-4990		Dr Cullen Timothy Kehoe, DO
N2950 State Road 67,
Lake Geneva, WI 53147-2655

Ph: (262) 245-4990

Reviews and Comments


Emergency Medicine Doctors in Lake Geneva, WI

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    

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.