Dr Kristin D Bencik Boudreau, DO - Medicare Pediatrics in Fox Point, WI

Dr Kristin D Bencik Boudreau, DO is a medicare enrolled "Pediatrics" physician in Fox Point, Wisconsin. Her current practice location is 7950 N Port Washington Rd, Fox Point, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 228-0099.

Dr Kristin D Bencik Boudreau is licensed to practice in Wisconsin (license number 43405) 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 1588660195.

Contact Information

Dr Kristin D Bencik Boudreau, DO
7950 N Port Washington Rd,
Fox Point, WI 53217-3131
(414) 228-0099
(414) 540-0165

Map and Direction




Physician's Profile

Full NameDr Kristin D Bencik Boudreau
GenderFemale
SpecialityPediatrics
Location7950 N Port Washington Rd, Fox Point, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588660195
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688601628
  • Enrollment ID: I20050721000587

Medical Identifiers

Medical identifiers for Dr Kristin D Bencik Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588660195NPI-NPPES
32858800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 43405 (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 Kristin D Bencik Boudreau allows following entities to bill medicare on her behalf.
Entity NameChildren's Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790732410
PECOS PAC ID: 4981509742
Enrollment ID: O20031204000573

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 Kristin D Bencik Boudreau 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 Kristin D Bencik Boudreau, DO
7950 N Port Washington Rd,
Milwaukee, WI 53217-3131

Ph: (414) 228-0099
Dr Kristin D Bencik Boudreau, DO
7950 N Port Washington Rd,
Fox Point, WI 53217-3131

Ph: (414) 228-0099

Reviews and Comments


Pediatrics Doctors in Fox Point, WI

Rachel Ullrich Nelson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-253-1194    Fax: 414-540-1065
Michelle M Linsmeier, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-228-0099    Fax: 414-540-1065
Sharyl Paley, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-228-0099    Fax: 414-540-0165
Matthew Nersesian, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-228-0099    Fax: 414-540-1065
David E Melbye, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-228-0099    Fax: 414-540-1065
Michelle Hwang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217
Phone: 414-253-1194    Fax: 414-540-1065

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.