Gregg E Tetting, MD in Oak Creek, WI

Gregg E Tetting, MD is a medicare enrolled "Pediatrics" physician in Oak Creek, Wisconsin. His current practice location is 200 E Ryan Rd, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 570-3590.

Gregg E Tetting is licensed to practice in Wisconsin (license number 37559-20) 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 1023196524.

Contact Information

	Gregg E Tetting, MD
	200 E Ryan Rd, Oak Creek, WI 53154-4563
	(414) 570-3590
	Not Available

Map and Direction

Physician's Profile

Full Name	Gregg E Tetting
Gender	Male
Speciality	Pediatrics
Location	200 E Ryan Rd, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023196524
Provider Enumeration Date: 11/01/2006
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8123268042
Enrollment ID: I20130717000130

Medical Identifiers

Medical identifiers for Gregg E Tetting such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023196524	NPI	-	NPPES
32217600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	37559-20 (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. Gregg E Tetting allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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

Entity Name	Aurora Advanced Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Gregg E Tetting 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
Gregg E Tetting, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Gregg E Tetting, MD 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590

Reviews and Comments

Pediatrics Doctors in Oak Creek, WI

Mallory Hannah Salentine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954
Angela M Bier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-164-6954
Mr. David S. Ogren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-5726
Smriti S Khare, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954
Randall Lee Fiete, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 E Twin Oaks Dr, Oak Creek, WI 53154 Phone: 414-571-9680
Steven J Jereb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954

Gregg E Tetting, MD - Medicare Pediatrics in Oak Creek, WI