Dr Suzanne S Herold, MD - Medicare Internal Medicine in Sheboygan, WI

Dr Suzanne S Herold, MD is a medicare enrolled "Internal Medicine" physician in Sheboygan, Wisconsin. Her current practice location is 1411 N Taylor Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Dr Suzanne S Herold is licensed to practice in Wisconsin (license number 40654020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194793273.

Contact Information

Dr Suzanne S Herold, MD
1411 N Taylor Dr,
Sheboygan, WI 53081-3043
(920) 496-4700
(920) 496-4705

Map and Direction




Physician's Profile

Full NameDr Suzanne S Herold
GenderFemale
SpecialityInternal Medicine
Location1411 N Taylor Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194793273
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 09/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8527090174
  • Enrollment ID: I20060328000298

Medical Identifiers

Medical identifiers for Dr Suzanne S Herold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194793273NPI-NPPES
32500800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 40654020 (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 Suzanne S Herold allows following entities to bill medicare on her behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172

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 Suzanne S Herold 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 Suzanne S Herold, MD
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700
Dr Suzanne S Herold, MD
1411 N Taylor Dr,
Sheboygan, WI 53081-3043

Ph: (920) 496-4700

Reviews and Comments


Internal Medicine Doctors in Sheboygan, WI

Gurminder Dhillon, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    Fax: 816-404-0003
Dr. Philip M. Detrana, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Dr. Louie Coulis, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081
Phone: 920-458-9800    Fax: 920-458-9882
Mr. Vinicius Klee Lopes, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Sree Ramya Punukollu,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-802-2100    
Dr. Rachael Bree Hosein, MBBS
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Curtis Wayne Hancock, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3431 N 13th St, Sheboygan, WI 53083
Phone: 414-359-4979    Fax: 414-328-4494

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.