Patrick Earl Mcdonough, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in St. Croix Falls, Wisconsin. He graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice St. Croix Regional Medical Center and his current practice location is
235 State Street, St. Croix Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 483-3221.
Patrick Earl Mcdonough is licensed to practice in Wisconsin (license number 54869) 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 1225151558.
Physician's Profile
| Full Name | Patrick Earl Mcdonough |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 20 Years |
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| Location | 235 State Street, St. Croix Falls, Wisconsin |
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| 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:
- Patrick Earl Mcdonough graduated from medical school in 2006
NPI Data:
- NPI Number: 1225151558
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830257435
- Enrollment ID: I20101021000670
Medical Identifiers
Medical identifiers for Patrick Earl Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225151558 | NPI | - | NPPES |
| 1225151558 | Medicaid | WI | |
| 1225151558 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QS0010X | Family Medicine - Sports Medicine | 50910 (Minnesota) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 54869 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St. Croix Regional Medical Center | 9335032184 | 109 |
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. Patrick Earl Mcdonough allows following entities to bill medicare on his behalf.
| Entity Name | St. Croix Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
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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. Patrick Earl Mcdonough 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 |
Patrick Earl Mcdonough, MD 235 State Street, St. Croix Falls, WI 54024 Ph: (715) 483-3221 | Patrick Earl Mcdonough, MD 235 State Street, St. Croix Falls, WI 54024 Ph: (715) 483-3221 |
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