Dr Qefli Neziri, MD - Medicare Internal Medicine in Marinette, WI

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Dr Qefli Neziri, MD is a medicare enrolled "Hospitalist" physician in Marinette, Wisconsin. He went to Medical College Of Wisconsin and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Froedtert Manitowoc Medical Group, Llc, Hni Medical Services Of Wisconsin Sc and his current practice location is 3100 Shore Dr, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 735-6621.

Dr Qefli Neziri is licensed to practice in Wisconsin (license number 42761) 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 1922109230.

Contact Information

Dr Qefli Neziri, MD
3100 Shore Dr,
Marinette, WI 54143-4242
(715) 735-6621
Not Available

Map and Direction




Physician's Profile

Full NameDr Qefli Neziri
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location3100 Shore Dr, Marinette, 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 Qefli Neziri attended and graduated from Medical College Of Wisconsin in 1997
  NPI Data:
  • NPI Number: 1922109230
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709827819
  • Enrollment ID: I20050519000230

Medical Identifiers

Medical identifiers for Dr Qefli Neziri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922109230NPI-NPPES
34112800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 42761 (Wisconsin)Secondary
208M00000XHospitalist 42761 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Family MemorialManitowoc, WIHospital
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Manitowoc Medical Group, Llc2365836954114
Hni Medical Services Of Wisconsin Sc51931539979

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 Qefli Neziri allows following entities to bill medicare on his behalf.
Entity NameOak Medical Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669910345
PECOS PAC ID: 0042595175
Enrollment ID: O20170331001848
Entity NameGaps Health Wi Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033760574
PECOS PAC ID: 8426380650
Enrollment ID: O20191021003025
Entity NameHni Medical Services Of Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194363135
PECOS PAC ID: 5193153997
Enrollment ID: O20200309002504
Entity NameFroedtert Manitowoc Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282

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 Qefli Neziri 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 Qefli Neziri, MD
435 W Hosmer St,
Marinette, WI 54143-3625

Ph: () -		Dr Qefli Neziri, MD
3100 Shore Dr,
Marinette, WI 54143-4242

Ph: (715) 735-6621

Reviews and Comments


Hospitalist Doctors in Marinette, WI


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.