Dr Michael J Grahl, MD - Medicare Emergency Medicine in Fond Du Lac, WI

Dr Michael J Grahl, MD is a medicare enrolled "Emergency Medicine" physician in Fond Du Lac, Wisconsin. His current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-4600.

Dr Michael J Grahl is licensed to practice in Wisconsin (license number 75162-20) 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 1306208921.

Contact Information

Dr Michael J Grahl, MD
430 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-4600
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael J Grahl
GenderMale
SpecialityEmergency Medicine
Location430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306208921
  • Provider Enumeration Date: 03/23/2016
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678866795
  • Enrollment ID: I20210630001420

Medical Identifiers

Medical identifiers for Dr Michael J Grahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306208921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 75162-20 (Wisconsin)Primary
208D00000XGeneral Practice 35.135979 (Ohio)Secondary

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 Michael J Grahl allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413524
PECOS PAC ID: 8729975461
Enrollment ID: O20040228000032
Entity NameMadison Emergency Physicians Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588646095
PECOS PAC ID: 4587631858
Enrollment ID: O20040915000748

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 Michael J Grahl 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 Michael J Grahl, MD
430 E Division St, Emergency Department,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-4600
Dr Michael J Grahl, MD
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-4600

Reviews and Comments


Emergency Medicine Doctors in Fond Du Lac, WI

Ann M Cappellari, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Mark S Kermgard, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 145 N Main St, Fond Du Lac, WI 54935
Phone: 920-926-8492    Fax: 920-926-8903
Dr. Scott J Stellmacher, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935
Phone: 920-907-7000    
Martha W Bauder, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4600    
Matthew Murphy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Michelle C Pesek-mccoy, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4600    

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.