Dr Scott A Paxton, DO - Medicare Family Medicine in Sheboygan Falls, WI

Dr Scott A Paxton, DO is a medicare enrolled "Family Medicine" physician in Sheboygan Falls, Wisconsin. His current practice location is W2850 State Road 28, Sheboygan Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 467-1800.

Dr Scott A Paxton is licensed to practice in Wisconsin (license number 1800) 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 1548246242.

Contact Information

Dr Scott A Paxton, DO
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702
(920) 467-1800
(920) 467-1900

Map and Direction




Physician's Profile

Full NameDr Scott A Paxton
GenderMale
SpecialityFamily Medicine
LocationW2850 State Road 28, Sheboygan Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548246242
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 02/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658412796
  • Enrollment ID: I20240131002338

Medical Identifiers

Medical identifiers for Dr Scott A Paxton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548246242NPI-NPPES
0858207125OtherMIBCBS INDIVIDUAL
1548246242MedicaidMI
1800OtherWISTATE LICENSE
700H219150OtherMIBLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101013909 (Michigan)Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine 1800 (Wisconsin)Secondary
207Q00000XFamily Medicine 1800 (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 Scott A Paxton allows following entities to bill medicare on his behalf.
Entity NameSharon S Richardson Hospice Home Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598855207
PECOS PAC ID: 8729086152
Enrollment ID: O20070213000012

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 Scott A Paxton 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 Scott A Paxton, DO
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702

Ph: (920) 467-1800
Dr Scott A Paxton, DO
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702

Ph: (920) 467-1800

Reviews and Comments


Family Medicine Doctors in Sheboygan Falls, WI

Dr. Jeffrey C Lynds, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1146 Plankview Green Blvd, Sheboygan Falls, WI 53085
Phone: 920-467-2424    Fax: 920-467-2486
Dr. Michelle L Rejman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1146 Plankview Green Blvd, Sheboygan Falls, WI 53085
Phone: 920-457-2424    
Susan Elizabeth Joseph, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: W2850 State Highway 28, Sheboygan Falls, WI 53085
Phone: 920-467-1800    Fax: 920-467-1900
Dr. Cari Ann Bollweg, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1112 Plankview Green Blvd, Sheboygan Falls, WI 53085
Phone: 920-234-3065    Fax: 978-645-6864

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.