Dr Richard E Arnold, MD - Medicare Pediatrics in Appleton, WI

Dr Richard E Arnold, MD is a medicare enrolled "Pediatrics" physician in Appleton, Wisconsin. His current practice location is 1818 N Meade St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 738-6546.

Dr Richard E Arnold is licensed to practice in Wisconsin (license number 50052) 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 1437132131.

Contact Information

Dr Richard E Arnold, MD
1818 N Meade St,
Appleton, WI 54911-3454
(920) 738-6546
(920) 738-6329

Map and Direction




Physician's Profile

Full NameDr Richard E Arnold
GenderMale
SpecialityPediatrics
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437132131
  • Provider Enumeration Date: 11/28/2005
  • Last Update Date: 10/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315934411
  • Enrollment ID: I20040430000591

Medical Identifiers

Medical identifiers for Dr Richard E Arnold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437132131NPI-NPPES
219061300MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD049233L (Pennsylvania)Secondary
208000000XPediatrics 187460 (New York)Secondary
208000000XPediatrics D0046877 (Maryland)Secondary
208M00000XHospitalist 187460 (New York)Secondary
208000000XPediatrics 50052 (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 Richard E Arnold allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameUpper Chesapeake Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497801419
PECOS PAC ID: 3173556974
Enrollment ID: O20050913000525

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 Richard E Arnold 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 Richard E Arnold, MD
513 Roundview Rd,
Baltimore, MD 21225-1426

Ph: (443) 935-9888
Dr Richard E Arnold, MD
1818 N Meade St,
Appleton, WI 54911-3454

Ph: (920) 738-6546

Reviews and Comments


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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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