Dr William D Borkon, MD is a medicare enrolled "Urology" physician in Friendship, Wisconsin. His current practice location is
402 W Lake St, Friendship, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 339-3331.
Dr William D Borkon is licensed to practice in Wisconsin (license number 67361-20) 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 1417934605.
Physician's Profile
Full Name | Dr William D Borkon |
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Gender | Male |
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Speciality | Urology |
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Location | 402 W Lake St, Friendship, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417934605
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 06/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 8325085103
- Enrollment ID: I20170525002136
Medical Identifiers
Medical identifiers for Dr William D Borkon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417934605 | NPI | - | NPPES |
304505600 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 25147 (Minnesota) | Secondary |
208800000X | Urology | 67361-20 (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 William D Borkon allows following entities to bill medicare on his behalf.
Entity Name | Moundview Memorial Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
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Entity Name | Moundview Memorial Hospital & Clinics Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20070525000443 |
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Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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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 William D Borkon 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 |
Dr William D Borkon, MD 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 | Dr William D Borkon, MD 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 |
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