Dr Keith T Oldham, MD in Milwaukee, WI

Dr Keith T Oldham, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Milwaukee, Wisconsin. His current practice location is 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 266-6550.

Dr Keith T Oldham is licensed to practice in Wisconsin (license number 40362) 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 1023060753.

Contact Information

	Dr Keith T Oldham, MD
	9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874
	(414) 266-6550
	(414) 266-6579

Map and Direction

Physician's Profile

Full Name	Dr Keith T Oldham
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	9000 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023060753
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6800863986
Enrollment ID: I20040916001087

Medical Identifiers

Medical identifiers for Dr Keith T Oldham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023060753	NPI	-	NPPES
002000328Q	Other		HUMANA
1023060753	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	40362 (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 Keith T Oldham allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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 Keith T Oldham 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 Keith T Oldham, MD 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 Ph: (414) 266-6550	Dr Keith T Oldham, MD 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 Ph: (414) 266-6550

Reviews and Comments

Surgery Doctors in Milwaukee, WI

Dr. David L Larson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 Phone: 414-805-3666
Dr. John J Aiken, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579
Nicole M Zaremba, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 145, Milwaukee, WI 53215 Phone: 414-385-2301
Dr. Jeremy Holzmacher Levin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-1700 Fax: 414-955-0072
William R Deshur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215 Phone: 414-649-3240 Fax: 414-649-3244
Dr. Timothy Joseph Ridolfi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Surgery - Division Of Colorectal Surgery, Milwaukee, WI 53226 Phone: 414-805-5783 Fax: 414-454-0152

Dr Keith T Oldham, MD - Medicare Surgery in Milwaukee, WI