Dr Kathryn R Trandem, MD, PHD is a medicare enrolled "Urology" physician in Boscobel, Wisconsin. Her current practice location is
205 Parker St, Boscobel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 375-4112.
Dr Kathryn R Trandem is licensed to practice in Wisconsin (license number 73669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053674770.
Physician's Profile
| Full Name | Dr Kathryn R Trandem |
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| Gender | Female |
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| Speciality | Urology |
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| Location | 205 Parker St, Boscobel, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053674770
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557618378
- Enrollment ID: I20180724003402
Medical Identifiers
Medical identifiers for Dr Kathryn R Trandem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053674770 | NPI | - | NPPES |
| 1053674770 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 036.154905 (Illinois) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | 73669 (Wisconsin) | Secondary |
| 208800000X | Urology | 73669 (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 Kathryn R Trandem allows following entities to bill medicare on her behalf.
| Entity Name | Family Healthcare Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164517744 PECOS PAC ID: 6305756339 Enrollment ID: O20040123000681 |
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| Entity Name | Ucsf Medical Group Business Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
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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 Kathryn R Trandem 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 Kathryn R Trandem, MD, PHD 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-3794 | Dr Kathryn R Trandem, MD, PHD 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112 |
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