Kerry Lee Mattingly, MD in Menomonee Falls, WI - Medicare Obstetrics/gynecology

Kerry Lee Mattingly, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Menomonee Falls, Wisconsin. She went to University Of Cincinnati College Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Obhg Wisconsin Sc and her current practice location is W180n7950 Town Hall Rd, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 250-5158.

Kerry Lee Mattingly is licensed to practice in Wisconsin (license number 52512-20) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184740284.

Contact Information

	Kerry Lee Mattingly, MD
	W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049
	(262) 250-5158
	(262) 532-9505

Map and Direction

Physician's Profile

Full Name	Kerry Lee Mattingly
Gender	Female
Speciality	Obstetrics/gynecology
Experience	33 Years
Location	W180n7950 Town Hall Rd, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kerry Lee Mattingly attended and graduated from University Of Cincinnati College Of Medicine in 1992

NPI Data:

NPI Number: 1184740284
Provider Enumeration Date: 03/21/2007
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6406944156
Enrollment ID: I20090121000256

Medical Identifiers

Medical identifiers for Kerry Lee Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184740284	NPI	-	NPPES
100003501	Medicaid	WI
160044537	Other	OH	RAILROAD
0239852	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	52512-20 (Wisconsin)	Primary
207V00000X	Obstetrics & Gynecology	35-069786 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Obhg Wisconsin Sc	0840551750	6

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. Kerry Lee Mattingly allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Entity Name	Obhg Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278

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. Kerry Lee Mattingly 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
Kerry Lee Mattingly, MD W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 Ph: (262) 250-5158	Kerry Lee Mattingly, MD W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 Ph: (262) 250-5158

Reviews and Comments

Obstetrics & Gynecology Doctors in Menomonee Falls, WI

Rochelle A Sohl, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-251-1000
Susan Kroener, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Gary Valestin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Anuradha Raman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Kathleen E Horowitz, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128
George D Geanon, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: N84 W16889 Menomonee Avenue, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128

Kerry Lee Mattingly, MD - Medicare Obstetrics/gynecology in Menomonee Falls, WI