Dr Jeffrey A Herold, MD - Medicare Plastic And Reconstructive Surgery in Sheboygan, WI

Dr Jeffrey A Herold, MD is a medicare enrolled "Plastic Surgery" physician in Sheboygan, Wisconsin. He went to University Of Virginia School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is 1526 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 803-1598.

Dr Jeffrey A Herold is licensed to practice in Wisconsin (license number 39578) 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 1932394962.

Contact Information

Dr Jeffrey A Herold, MD
1526 N Taylor Dr,
Sheboygan, WI 53081-1927
(920) 803-1598
(920) 803-1599

Map and Direction




Physician's Profile

Full NameDr Jeffrey A Herold
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience34 Years
Location1526 N Taylor Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. 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 Jeffrey A Herold attended and graduated from University Of Virginia School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1932394962
  • Provider Enumeration Date: 09/12/2007
  • Last Update Date: 02/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7517924764
  • Enrollment ID: I20041221000032

Medical Identifiers

Medical identifiers for Dr Jeffrey A Herold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932394962NPI-NPPES
32429800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 39578 (Wisconsin)Primary
2082S0105XPlastic Surgery - Surgery Of The Hand 39578 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Nicholas HospitalSheboygan, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Nicholas Hospital-sisters Of The Third Order Of St Francis8325931652150

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 Jeffrey A Herold allows following entities to bill medicare on his behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172

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 Jeffrey A Herold 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 Jeffrey A Herold, MD
1526 N Taylor Dr,
Sheboygan, WI 53081-1927

Ph: (920) 803-1598
Dr Jeffrey A Herold, MD
1526 N Taylor Dr,
Sheboygan, WI 53081-1927

Ph: (920) 803-1598

Reviews and Comments


Plastic Surgery Doctors in Sheboygan, WI

Thaddeus P O'neill, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Pamela R Portschy, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-459-1160    Fax: 920-459-1414

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.