Dr George T Poullette, MD in Pleasant Prairie, WI

Dr George T Poullette, MD is a medicare enrolled "Family Medicine" physician in Pleasant Prairie, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Advantage Physical Therapy And Sports Rehab, Llc, Froedtert South Inc and his current practice location is 10256 Old Green Bay Road, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 551-4200.

Dr George T Poullette is licensed to practice in Wisconsin (license number 30486) 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 1104933415.

Contact Information

	Dr George T Poullette, MD
	10256 Old Green Bay Road, Pleasant Prairie, WI 53158-2815
	(262) 551-4200
	(262) 551-4947

Map and Direction

Physician's Profile

Full Name	Dr George T Poullette
Gender	Male
Speciality	Family Practice
Experience	37 Years
Location	10256 Old Green Bay Road, Pleasant Prairie, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr George T Poullette attended and graduated from University Of Wisconsin School Of Medicine in 1988

NPI Data:

NPI Number: 1104933415
Provider Enumeration Date: 08/23/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7810928587
Enrollment ID: I20050823000803

Medical Identifiers

Medical identifiers for Dr George T Poullette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104933415	NPI	-	NPPES
30486-20	Other	WI	WI LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	30486 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kenosha Vna	Kenosha, WI	Home health agency
Hospice Alliance	Pleasant prairie, WI	Hospice
United Hospital System	Kenosha, WI	Hospital
Brookside Care Center	Kenosha, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Physical Therapy And Sports Rehab, Llc	8022016336	178
Froedtert South Inc	9537071196	132

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 George T Poullette allows following entities to bill medicare on his behalf.

Entity Name	Froedtert South Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493

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 George T Poullette 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 George T Poullette, MD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 577-8320	Dr George T Poullette, MD 10256 Old Green Bay Road, Pleasant Prairie, WI 53158-2815 Ph: (262) 551-4200

Reviews and Comments

Family Medicine Doctors in Pleasant Prairie, WI

William J Jeranek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300
Mr. John A Martini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7050
Aimee F Ledesma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414
Dr. Tomasz M Jarzembowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414
Dr. Daisy Andaleon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-551-4270
Michelle Louise Gauthier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-577-8320 Fax: 262-577-8372

Dr George T Poullette, MD - Medicare Family Practice in Pleasant Prairie, WI