Mark R Staszkiewicz, MD in West Bend, WI

Mark R Staszkiewicz, MD is a medicare enrolled "Pediatrics" physician in West Bend, Wisconsin. His current practice location is 1700 W Paradise Dr, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 334-3451.

Mark R Staszkiewicz is licensed to practice in Wisconsin (license number 38128) 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 1417914524.

Contact Information

	Mark R Staszkiewicz, MD
	1700 W Paradise Dr, West Bend, WI 53095-9795
	(262) 334-3451
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark R Staszkiewicz
Gender	Male
Speciality	Pediatrics
Location	1700 W Paradise Dr, West Bend, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417914524
Provider Enumeration Date: 05/01/2006
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6800154634
Enrollment ID: I20171227000933

Medical Identifiers

Medical identifiers for Mark R Staszkiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417914524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	38128 (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. Mark R Staszkiewicz allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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

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. Mark R Staszkiewicz 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
Mark R Staszkiewicz, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451	Mark R Staszkiewicz, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451

Reviews and Comments

Pediatrics Doctors in West Bend, WI

Melanie Custer, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 611 Veterans Ave Unit 106, West Bend, WI 53090 Phone: 262-353-4460 Fax: 262-353-4461
Colleen J Reichel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684
Lisa K Seefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7142
Dr. Sylvia Hillmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Heather I Osborn, Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Jeffrey B Goza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964

Mark R Staszkiewicz, MD - Medicare Pediatrics in West Bend, WI