Dr Matthew R Herald, MD - Medicare Psychiatry in Waukesha, WI

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Dr Matthew R Herald, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Waukesha, Wisconsin. He went to University Of Texas Medical School At San Antonio and graduated in 2007 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 721 American Ave Ste 501, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 928-7528.

Dr Matthew R Herald is licensed to practice in Wisconsin (license number 52333) 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 1275737199.

Contact Information

Dr Matthew R Herald, MD
721 American Ave Ste 501,
Waukesha, WI 53188-5071
(262) 928-7528
(262) 928-5096

Map and Direction




Physician's Profile

Full NameDr Matthew R Herald
GenderMale
SpecialityPsychiatry
Experience19 Years
Location721 American Ave Ste 501, Waukesha, 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 Matthew R Herald attended and graduated from University Of Texas Medical School At San Antonio in 2007
  NPI Data:
  • NPI Number: 1275737199
  • Provider Enumeration Date: 06/13/2007
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810166824
  • Enrollment ID: I20110809000328

Medical Identifiers

Medical identifiers for Dr Matthew R Herald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275737199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 52333 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prohealth Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188475

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 Matthew R Herald allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameCary J Kohlenberg MD SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952487506
PECOS PAC ID: 9537140611
Enrollment ID: O20040525001388
Entity NameWatertown Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770964363
PECOS PAC ID: 8022329408
Enrollment ID: O20150626000114
Entity NameBcs of Wisconsin SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629579149
PECOS PAC ID: 7618232760
Enrollment ID: O20180521002097

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 Matthew R Herald 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 Matthew R Herald, MD
721 American Ave Ste 501,
Waukesha, WI 53188-5071

Ph: (262) 928-7528		Dr Matthew R Herald, MD
721 American Ave Ste 501,
Waukesha, WI 53188-5071

Ph: (262) 928-7528

Reviews and Comments


Psychiatry & Neurology Doctors in Waukesha, WI

Dr. Thomas Jerome Wilson, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7666    Fax: 262-548-7656
Dr. Malti Mahendra Patel, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 514 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7665    Fax: 262-970-6696
Makenzie Elizabeth Hatfield Kresch, MD
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: N20w22961 Watertown Rd, Waukesha, WI 53186
Phone: 262-875-5070    Fax: 866-384-9486
Paul Larson, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Randall B Steinhaus, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    
Dr. Stanya Smith, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188
Phone: 262-542-9503    Fax: 262-542-8447
Gobind Kang-chahal, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 514 Riverview Ave, Waukesha, WI 53188
Phone: 262-548-7666    

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.