Drew Gunderson, MD in South Milwaukee, WI

Drew Gunderson, MD is a medicare enrolled "Family Medicine" physician in South Milwaukee, Wisconsin. His current practice location is 3611 S Chicago Ave, South Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 762-7270.

Drew Gunderson is licensed to practice in Wisconsin (license number 77906-20) 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 1407435019.

Contact Information

	Drew Gunderson, MD
	3611 S Chicago Ave, South Milwaukee, WI 53172-3738
	(414) 762-7270
	(414) 762-7864

Map and Direction

Physician's Profile

Full Name	Drew Gunderson
Gender	Male
Speciality	Family Medicine
Location	3611 S Chicago Ave, South Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407435019
Provider Enumeration Date: 04/02/2021
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6608235866
Enrollment ID: I20240730000668

Medical Identifiers

Medical identifiers for Drew Gunderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407435019	NPI	-	NPPES
100241087	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	77906-20 (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. Drew Gunderson allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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. Drew Gunderson 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
Drew Gunderson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Drew Gunderson, MD 3611 S Chicago Ave, South Milwaukee, WI 53172-3738 Ph: (414) 762-7270

Reviews and Comments

Family Medicine Doctors in South Milwaukee, WI

David Munoz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3611 S. Chicago Ave, Ste 100, South Milwaukee, WI 53172 Phone: 414-762-7270 Fax: 414-762-7864
Dixie M. Patel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3611 S. Chicago Ave., Ste 100, South Milwaukee, WI 53172 Phone: 414-762-7270 Fax: 414-762-7864
Nadine Haddad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 15th Ave, South Milwaukee, WI 53172 Phone: 414-645-1808 Fax: 414-645-1170
Dr. Jillian Huyck Hudson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3611 S Chicago Ave, Suite 100, South Milwaukee, WI 53172 Phone: 414-762-7270 Fax: 414-762-7864
Patrick Foss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3611 S Chicago Ave, South Milwaukee, WI 53172 Phone: 414-762-7270 Fax: 414-762-7864
George D. Cherayil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Milwaukee Ave, South Milwaukee, WI 53172 Phone: 414-764-4003 Fax: 414-764-4005

Drew Gunderson, MD - Medicare Family Medicine in South Milwaukee, WI