Mr Douglas William Mielke, MD in Appleton, WI - Medicare Interventional Cardiology

Mr Douglas William Mielke, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Appleton, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and his current practice location is 5045 W Grande Market Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 886-9380.

Mr Douglas William Mielke is licensed to practice in Wisconsin (license number 35277-020) 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 1104878149.

Contact Information

	Mr Douglas William Mielke, MD
	5045 W Grande Market Dr, Appleton, WI 54913-8517
	(920) 886-9380
	(920) 886-9381

Map and Direction

Physician's Profile

Full Name	Mr Douglas William Mielke
Gender	Male
Speciality	Interventional Cardiology
Experience	37 Years
Location	5045 W Grande Market Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Douglas William Mielke attended and graduated from University Of Wisconsin School Of Medicine in 1987

NPI Data:

NPI Number: 1104878149
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 9436062445
Enrollment ID: I20050222000448

Medical Identifiers

Medical identifiers for Mr Douglas William Mielke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104878149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35277-020 (Wisconsin)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	35277-020 (Wisconsin)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	35277-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Ne Wisconsin - St Elizabeth Campus	Appleton, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Medical Group-fox Valley Wisconsin Inc	0244142420	258

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. Mr Douglas William Mielke allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

Entity Name	Ascension Calumet Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191

Entity Name	Heart And Vascular Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053884478 PECOS PAC ID: 8022358217 Enrollment ID: O20190326001895

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831890177 PECOS PAC ID: 0244142420 Enrollment ID: O20230706002797

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. Mr Douglas William Mielke 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
Mr Douglas William Mielke, MD Bin 88040, Milwaukee, WI 53288-0040 Ph: (920) 886-9380	Mr Douglas William Mielke, MD 5045 W Grande Market Dr, Appleton, WI 54913-8517 Ph: (920) 886-9380

Reviews and Comments

Internal Medicine Doctors in Appleton, WI

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Deborah A Ihde, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293

Mr Douglas William Mielke, MD - Medicare Interventional Cardiology in Appleton, WI