Paul Henry Sumnicht, MD - Medicare Family Medicine in Waupun, WI

Paul Henry Sumnicht, MD is a medicare enrolled "Family Medicine" physician in Waupun, Wisconsin. His current practice location is 1 W Lincoln St, Waupun, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 324-7259.

Paul Henry Sumnicht is licensed to practice in Wisconsin (license number 25454) 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 1639214752.

Contact Information

Paul Henry Sumnicht, MD
1 W Lincoln St,
Waupun, WI 53963-1949
(920) 324-7259
(920) 324-7254

Map and Direction




Physician's Profile

Full NamePaul Henry Sumnicht
GenderMale
SpecialityFamily Medicine
Location1 W Lincoln St, Waupun, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639214752
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113971409
  • Enrollment ID: I20050309000776

Medical Identifiers

Medical identifiers for Paul Henry Sumnicht such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639214752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25454 (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. Paul Henry Sumnicht allows following entities to bill medicare on his behalf.
Entity NameOneida Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077

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. Paul Henry Sumnicht 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
Paul Henry Sumnicht, MD
26 S Keller Park Dr,
Appleton, WI 54914-8868

Ph: () -
Paul Henry Sumnicht, MD
1 W Lincoln St,
Waupun, WI 53963-1949

Ph: (920) 324-7259

Reviews and Comments


Family Medicine Doctors in Waupun, WI

Dr. Roman Yakov Kaplan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Lincoln St, Dci Hsu, Waupun, WI 53963
Phone: 920-324-6235    Fax: 920-324-6288
Yves-mario Piverger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 W Brown St, Waupun, WI 53963
Phone: 920-324-5581    
Dr. Manish Sharda, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6800    
Peter W Timmermans, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Richard F Mcmahon, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Robert D Newton, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Michael A Jones, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    Fax: 920-324-6878

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.