Dr Mauricio E Palencia, MD - Medicare Family Practice in Plymouth, WI

  1. Home
  2. Emergency Medicine
  3. WI
  4. Plymouth
Dr Mauricio E Palencia, MD is a medicare enrolled "Emergency Medicine" physician in Plymouth, Wisconsin. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aamg Reach Pllc and his current practice location is 2600 Kiley Way, Plymouth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 449-7000.

Dr Mauricio E Palencia is licensed to practice in Wisconsin (license number 43429) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770558264.

Contact Information

Dr Mauricio E Palencia, MD
2600 Kiley Way,
Plymouth, WI 53073-5020
(920) 449-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Mauricio E Palencia
GenderMale
SpecialityFamily Practice
Experience37 Years
Location2600 Kiley Way, Plymouth, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mauricio E Palencia graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1770558264
  • Provider Enumeration Date: 02/20/2006
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294711560
  • Enrollment ID: I20040628000218

Medical Identifiers

Medical identifiers for Dr Mauricio E Palencia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770558264NPI-NPPES
34111200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 43429 (Wisconsin)Secondary
207P00000XEmergency Medicine 43429 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Sheboygan Memorial Medical CtrSheboygan, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aamg Reach Pllc559713326454

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 Mauricio E Palencia allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameMemorial Hospital Of Boscobel
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694
Entity NameAamg Reach Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609502707
PECOS PAC ID: 5597133264
Enrollment ID: O20221216002458

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 Mauricio E Palencia 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 Mauricio E Palencia, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Dr Mauricio E Palencia, MD
2600 Kiley Way,
Plymouth, WI 53073-5020

Ph: (920) 449-7000

Reviews and Comments


Emergency Medicine Doctors in Plymouth, WI

William J Wagner, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: N7426 County Road J, Plymouth, WI 53073
Phone: 920-876-2241    
Betty Ann Van Leuven, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    
Dr. Andrew Bradford Ingraham, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    

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.