Dr Phillip Douglas Martinez-knouse, MD - Medicare Internal Medicine in Summit, WI

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Dr Phillip Douglas Martinez-knouse, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Summit, Wisconsin. His current practice location is 36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 434-8800.

Dr Phillip Douglas Martinez-knouse is licensed to practice in Wisconsin (license number 22233-875) 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 1689036923.

Contact Information

Dr Phillip Douglas Martinez-knouse, MD
36500 Aurora Dr,
Summit, WI 53066-4899
(262) 434-8800
Not Available

Map and Direction




Physician's Profile

Full NameDr Phillip Douglas Martinez-knouse
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location36500 Aurora Dr, Summit, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689036923
  • Provider Enumeration Date: 03/25/2016
  • Last Update Date: 06/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810280997
  • Enrollment ID: I20220719001291

Medical Identifiers

Medical identifiers for Dr Phillip Douglas Martinez-knouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689036923NPI-NPPES
100204204MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 036.149823 (Illinois)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 22233-875 (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 Phillip Douglas Martinez-knouse allows following entities to bill medicare on his behalf.
Entity NameAurora Health Care Metro, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861447179
PECOS PAC ID: 8628986536
Enrollment ID: O20040114000498
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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 Phillip Douglas Martinez-knouse 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 Phillip Douglas Martinez-knouse, MD
Po Box 735044,
Chicago, IL 60673-5031

Ph: (800) 326-2250		Dr Phillip Douglas Martinez-knouse, MD
36500 Aurora Dr,
Summit, WI 53066-4899

Ph: (262) 434-8800

Reviews and Comments


Internal Medicine Doctors in Summit, WI

Bijan Nezami,
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    
Kevin L Eggleston, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-4711    Fax: 262-434-4041
Rebecca M Striet, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Department Of Wound Care/hyperbaric Medicine 3rd Floor, Summit, WI 53066
Phone: 262-434-5000    
Vijay Johnson, M.D
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 262-434-5050
Shubhi Sehgal, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-5000    
Pravin Gupta, M.D.
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 515-471-9320
Brett T Mittelstedt,
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    

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).

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