Dr Stephen K Sponagle, MD - Medicare Psychiatry in Milwaukee, WI

Dr Stephen K Sponagle, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Milwaukee, Wisconsin. He went to University Of South Florida College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Sixteenth Street Community Health Centers Inc, Wisconsin Community Services Inc and his current practice location is 1155 North Mayfair Road, Behavioral Health Clinic @ Tosa, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 805-3666.

Dr Stephen K Sponagle is licensed to practice in Wisconsin (license number 47580) 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 1255382925.

Contact Information

Dr Stephen K Sponagle, MD
1155 North Mayfair Road, Behavioral Health Clinic @ Tosa,
Milwaukee, WI 53226
(414) 805-3666
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen K Sponagle
GenderMale
SpecialityPsychiatry
Experience25 Years
Location1155 North Mayfair Road, Milwaukee, 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 Stephen K Sponagle attended and graduated from University Of South Florida College Of Medicine in 1999
  NPI Data:
  • NPI Number: 1255382925
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658320957
  • Enrollment ID: I20050113000480

Medical Identifiers

Medical identifiers for Dr Stephen K Sponagle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255382925NPI-NPPES
34601100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 47580 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sixteenth Street Community Health Centers Inc670987685774
Wisconsin Community Services Inc75179818223

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 Stephen K Sponagle allows following entities to bill medicare on his behalf.
Entity NameSixteenth Street Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417912999
PECOS PAC ID: 6709876857
Enrollment ID: O20040512001352
Entity NameWisconsin Community Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538389184
PECOS PAC ID: 7517981822
Enrollment ID: O20060125000244

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 Stephen K Sponagle 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 Stephen K Sponagle, MD
1155 N Mayfair Rd, Behavioral Health Clinic @ Tosa,
Milwaukee, WI 53226-3421

Ph: () -
Dr Stephen K Sponagle, MD
1155 North Mayfair Road, Behavioral Health Clinic @ Tosa,
Milwaukee, WI 53226

Ph: (414) 805-3666

Reviews and Comments


Psychiatry & Neurology Doctors in Milwaukee, WI

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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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