Dr William J Dierberg, MD in Green Bay, WI

Dr William J Dierberg, MD is a medicare enrolled "Plastic Surgery" physician in Green Bay, Wisconsin. His current practice location is 2605 Development Dr, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8240.

Dr William J Dierberg is licensed to practice in Wisconsin (license number 31110-020) 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 1013910785.

Contact Information

	Dr William J Dierberg, MD
	2605 Development Dr, Green Bay, WI 54311-4240
	(920) 288-8240
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William J Dierberg
Gender	Male
Speciality	Plastic Surgery
Location	2605 Development Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013910785
Provider Enumeration Date: 05/24/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7416869607
Enrollment ID: I20101101001387

Medical Identifiers

Medical identifiers for Dr William J Dierberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013910785	NPI	-	NPPES
31812800	Medicaid	WI
31110-020	Other	WI	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	31110-020 (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 J Dierberg allows following entities to bill medicare on his behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

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 J Dierberg 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 J Dierberg, MD 2073 Wintergreen Ct, Green Bay, WI 54304-1946 Ph: (920) 366-9814	Dr William J Dierberg, MD 2605 Development Dr, Green Bay, WI 54311-4240 Ph: (920) 288-8240

Reviews and Comments

Plastic Surgery Doctors in Green Bay, WI

Dr. James Lee, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Webster Ave, Ste 401, Green Bay, WI 54301 Phone: 920-436-8284
Steven C Schmidt, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-288-8255
Dr. Eugene H Schmitt Iii, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Webster Ave, Ste 401, Green Bay, WI 54301 Phone: 920-432-7000 Fax: 920-432-7451
James M Zasuly, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488

Dr William J Dierberg, MD - Medicare Plastic Surgery in Green Bay, WI