Kevin L Polglaze, DO - Medicare Emergency Medicine in Oshkosh, WI

  1. Home
  2. Emergency Medicine
  3. WI
  4. Oshkosh
Kevin L Polglaze, DO is a medicare enrolled "Emergency Medicine" physician in Oshkosh, Wisconsin. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Baycare Aurora Llc, Baycare Clinic Llp, Aurora Medical Group, Inc., Aurora Health Care North Inc and his current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 490-9046.

Kevin L Polglaze is licensed to practice in Wisconsin (license number 52673-021) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053555367.

Contact Information

Kevin L Polglaze, DO
855 N Westhaven Dr,
Oshkosh, WI 54904-7668
(920) 490-9046
Not Available

Map and Direction




Physician's Profile

Full NameKevin L Polglaze
GenderMale
SpecialityEmergency Medicine
Experience19 Years
Location855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin L Polglaze graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1053555367
  • Provider Enumeration Date: 04/30/2009
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133270960
  • Enrollment ID: I20090707000664

Medical Identifiers

Medical identifiers for Kevin L Polglaze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053555367NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 52673-021 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Baycare Medical CtrGreen bay, WIHospital
Aurora Medical Ctr Manitowoc CountyTwo rivers, WIHospital
Aurora Medical Ctr OshkoshOshkosh, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Aurora Llc0244130557187
Baycare Clinic Llp4385554328190
Aurora Medical Group, Inc.67097942583491
Aurora Health Care North Inc943606740218

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. Kevin L Polglaze allows following entities to bill medicare on his behalf.
Entity NameBaycare Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAurora Medical Center Of Oshkosh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275578064
PECOS PAC ID: 7113837378
Enrollment ID: O20031111000585
Entity NameAurora Health Care North Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508687
PECOS PAC ID: 9436067402
Enrollment ID: O20040211000368
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579
Entity NameIhc Beaver Dam Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912109836
PECOS PAC ID: 8123129657
Enrollment ID: O20070727000027

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. Kevin L Polglaze 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 AddressPractice Location Address
Kevin L Polglaze, DO
Po Box 28900,
Green Bay, WI 54324-0900

Ph: (920) 490-9046		Kevin L Polglaze, DO
855 N Westhaven Dr,
Oshkosh, WI 54904-7668

Ph: (920) 490-9046

Reviews and Comments


Emergency Medicine Doctors in Oshkosh, WI

John M Rosebush Jr., MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-456-7400    Fax: 920-456-7421
Hannah Johnshoy,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Trevor C Fenrich, EMT-B
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 621 Evans St, Oshkosh, WI 54901
Phone: 920-233-0888    
Jayzon P Martonito, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Kenneth Thomson, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Daniel Gale, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-456-7400    Fax: 920-456-7421

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.