Dr Vernon Dale Casterline, MD is a medicare enrolled "Dermatology" physician in Greenfield, Wisconsin. His current practice location is
2923 W Layton Ave, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 281-0712.
Dr Vernon Dale Casterline is licensed to practice in Wisconsin (license number 25757-020) 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 1104887223.
Physician's Profile
| Full Name | Dr Vernon Dale Casterline |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 2923 W Layton Ave, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104887223
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 04/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 3476624925
- Enrollment ID: I20101116000717
Medical Identifiers
Medical identifiers for Dr Vernon Dale Casterline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104887223 | NPI | - | NPPES |
| 30842200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 25757-020 (Wisconsin) | Primary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 25757-020 (Wisconsin) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 25757-020 (Wisconsin) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 25757-020 (Wisconsin) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 25757-020 (Wisconsin) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 25757-020 (Wisconsin) | Secondary |
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 Vernon Dale Casterline allows following entities to bill medicare on his behalf.
| Entity Name | Layton Avenue Dermatology Associates Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164458741
PECOS PAC ID: 8527958495
Enrollment ID: O20040316001106 |
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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 Vernon Dale Casterline 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 Address | Practice Location Address |
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Dr Vernon Dale Casterline, MD
2923 W Layton Ave,
Greenfield, WI 53221-2626
Ph: (414) 281-0712 | Dr Vernon Dale Casterline, MD
2923 W Layton Ave,
Greenfield, WI 53221-2626
Ph: (414) 281-0712 |
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