Eduardo Andres Torre Valdivieso, MD in Pleasant Prairie, WI

Eduardo Andres Torre Valdivieso, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Pleasant Prairie, Wisconsin. His current practice location is 7809 100th St, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 345-2358.

Eduardo Andres Torre Valdivieso is licensed to practice in Wisconsin (license number 87741-20) 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 1821674532.

Contact Information

	Eduardo Andres Torre Valdivieso, MD
	7809 100th St, Pleasant Prairie, WI 53158-2806
	(262) 345-2358
	(262) 912-0137

Map and Direction

Physician's Profile

Full Name	Eduardo Andres Torre Valdivieso
Gender	Male
Speciality	Dermatology - Dermatopathology
Location	7809 100th St, Pleasant Prairie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821674532
Provider Enumeration Date: 03/23/2021
Last Update Date: 07/10/2026

Medicare PECOS Information:

PECOS PAC ID: 8224498423
Enrollment ID: I20250505002606

Medical Identifiers

Medical identifiers for Eduardo Andres Torre Valdivieso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821674532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	87741-20 (Wisconsin)	Secondary
207ND0900X	Dermatology - Dermatopathology	87741-20 (Wisconsin)	Primary
207ZD0900X	Pathology - Dermatopathology	87741-20 (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. Eduardo Andres Torre Valdivieso allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Eduardo Andres Torre Valdivieso 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
Eduardo Andres Torre Valdivieso, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Eduardo Andres Torre Valdivieso, MD 7809 100th St, Pleasant Prairie, WI 53158-2806 Ph: (262) 345-2358

Reviews and Comments

Dermatology Doctors in Pleasant Prairie, WI

Dr. Brandon C Zelman, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11211 120th Ave Ste A009b, Pleasant Prairie, WI 53158 Phone: 262-283-5333 Fax: 262-912-0137
Dr. Platina Coy Gershtenson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9020 76th St Ste E, Pleasant Prairie, WI 53158 Phone: 262-697-8030 Fax: 262-697-6157
Israel S Kasago, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7809 100th St, Pleasant Prairie, WI 53158 Phone: 262-345-2358 Fax: 262-912-0137
Dr. Marjorie Frances Yang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9020 76th St Ste E, Pleasant Prairie, WI 53158 Phone: 262-697-8030 Fax: 262-697-6157

Eduardo Andres Torre Valdivieso, MD - Medicare Dermatology in Pleasant Prairie, WI