Dr Mark W Niedfeldt, MD in Mequon, WI - Medicare Family Medicine

Dr Mark W Niedfeldt, MD is a medicare enrolled "Family Medicine" physician in Mequon, Wisconsin. His current practice location is 10325 N Port Washington Rd Ste 150, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 643-4720.

Dr Mark W Niedfeldt is licensed to practice in Wisconsin (license number 35201) 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 1205887775.

Contact Information

	Dr Mark W Niedfeldt, MD
	10325 N Port Washington Rd Ste 150, Mequon, WI 53092-5768
	(262) 643-4720
	(262) 643-4721

Map and Direction

Physician's Profile

Full Name	Dr Mark W Niedfeldt
Gender	Male
Speciality	Family Medicine
Location	10325 N Port Washington Rd Ste 150, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205887775
Provider Enumeration Date: 05/12/2006
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 7618941113
Enrollment ID: I20040820000961

Medical Identifiers

Medical identifiers for Dr Mark W Niedfeldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205887775	NPI	-	NPPES
32113600	Medicaid	WI
002000187C	Other		HUMANA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35201 (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 Mark W Niedfeldt allows following entities to bill medicare on his behalf.

Entity Name	Colab Physicians, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902666035 PECOS PAC ID: 1052853561 Enrollment ID: O20240611003317

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 Mark W Niedfeldt 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 Mark W Niedfeldt, MD 10556 North Port Washington Road, Suite 101, Mequon, WI 53092-5586 Ph: (262) 643-4720	Dr Mark W Niedfeldt, MD 10325 N Port Washington Rd Ste 150, Mequon, WI 53092-5768 Ph: (262) 643-4720

Reviews and Comments

Family Medicine Doctors in Mequon, WI

Henry J Schnitzler Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12800 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-9600
Krista M Dyreson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-0051
Shawn Patel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200
Jonathan Katz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-0051 Fax: 262-236-8780
Zachary Singer, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-0051 Fax: 262-236-8780
Richard Lewis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11649 N Port Washington Rd Ste 114, Mequon, WI 53092 Phone: 262-235-3800 Fax: 262-236-9726

Dr Mark W Niedfeldt, MD - Medicare Family Medicine in Mequon, WI