Katherine Kormanik, MD in Mequon, WI

Katherine Kormanik, MD is a medicare enrolled "Pediatrics" physician in Mequon, Wisconsin. Her current practice location is 12203 Corporate Pkwy, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 387-8200.

Katherine Kormanik is licensed to practice in Wisconsin (license number 51808) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336261411.

Contact Information

	Katherine Kormanik, MD
	12203 Corporate Pkwy, Mequon, WI 53092-3388
	(262) 387-8200
	(262) 387-8271

Map and Direction

Physician's Profile

Full Name	Katherine Kormanik
Gender	Female
Speciality	Pediatrics
Location	12203 Corporate Pkwy, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336261411
Provider Enumeration Date: 04/06/2007
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8123192366
Enrollment ID: I20110117000022

Medical Identifiers

Medical identifiers for Katherine Kormanik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336261411	NPI	-	NPPES
35313800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	51808 (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. Katherine Kormanik allows following entities to bill medicare on her behalf.

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. Katherine Kormanik 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
Katherine Kormanik, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100	Katherine Kormanik, MD 12203 Corporate Pkwy, Mequon, WI 53092-3388 Ph: (262) 387-8200

Reviews and Comments

Pediatrics Doctors in Mequon, WI

Dr. Cynthia Marie Running, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092 Phone: 262-240-9744 Fax: 262-240-9745
Ellen Pauline Shen, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092 Phone: 262-240-9744 Fax: 262-240-9745
Christina Englebert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1655 W. Mequon Road, Mequon, WI 53092 Phone: 262-240-9744 Fax: 262-240-9745
Jane Ramanujam, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092 Phone: 262-518-1900
Howard J Gollup, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: N112 W17975 Mequon Road, Mequon, WI 53022 Phone: 262-532-7600 Fax: 262-532-7602
Carl S L Eisenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11042 N Hedgewood Ln, Mequon, WI 53092 Phone: 262-242-5862

Katherine Kormanik, MD - Medicare Pediatrics in Mequon, WI