Melanie Custer, MD in West Bend, WI

Melanie Custer, MD is a medicare enrolled "Pediatrics" physician in West Bend, Wisconsin. Her current practice location is 611 Veterans Ave Unit 106, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 353-4460.

Melanie Custer is licensed to practice in Wisconsin (license number 70643-20) 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 1053686493.

Contact Information

	Melanie Custer, MD
	611 Veterans Ave Unit 106, West Bend, WI 53090-2559
	(262) 353-4460
	(262) 353-4461

Map and Direction

Physician's Profile

Full Name	Melanie Custer
Gender	Female
Speciality	Pediatrics
Location	611 Veterans Ave Unit 106, 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: 1053686493
Provider Enumeration Date: 03/19/2012
Last Update Date: 02/09/2021

Medicare PECOS Information:

PECOS PAC ID: 6103231873
Enrollment ID: I20210211001224

Medical Identifiers

Medical identifiers for Melanie Custer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053686493	NPI	-	NPPES
1053686493	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	70643-20 (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. Melanie Custer allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Melanie Custer 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
Melanie Custer, MD 103 Financial Pl, Suite 100, Elizabethtown, KY 42701-4470 Ph: (270) 769-0110	Melanie Custer, MD 611 Veterans Ave Unit 106, West Bend, WI 53090-2559 Ph: (262) 353-4460

Reviews and Comments

Pediatrics Doctors in West Bend, WI

Colleen J Reichel, MD Pediatrics Medicare: Medicare Enrolled 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
Mark R Staszkiewicz, M.D. 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

Melanie Custer, MD - Medicare Pediatrics in West Bend, WI