Dr Paul M Smullen, MD - Medicare Family Practice in Kewaunee, WI

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Dr Paul M Smullen, MD is a medicare enrolled "Family Medicine" physician in Kewaunee, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and his current practice location is 1020 Marquette Dr, Kewaunee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dr Paul M Smullen is licensed to practice in Wisconsin (license number 52480) 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 1033234406.

Contact Information

Dr Paul M Smullen, MD
1020 Marquette Dr,
Kewaunee, WI 54216-1782
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameDr Paul M Smullen
GenderMale
SpecialityFamily Practice
Experience19 Years
Location1020 Marquette Dr, Kewaunee, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul M Smullen attended and graduated from Medical College Of Wisconsin in 2007
  NPI Data:
  • NPI Number: 1033234406
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 03/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668665696
  • Enrollment ID: I20101021001201

Medical Identifiers

Medical identifiers for Dr Paul M Smullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033234406NPI-NPPES
100010351MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 52480 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincent HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675567

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. Dr Paul M Smullen allows following entities to bill medicare on his behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689694911
PECOS PAC ID: 5799694675
Enrollment ID: O20040126000012
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Dr Paul M Smullen 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
Dr Paul M Smullen, MD
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700		Dr Paul M Smullen, MD
1020 Marquette Dr,
Kewaunee, WI 54216-1782

Ph: (920) 496-4700

Reviews and Comments


Family Medicine Doctors in Kewaunee, WI

Thomas Michael Zenner, MD
Family Medicine
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Practice Location: 575 4th St, Kewaunee, WI 54216
Phone: 920-388-4640    
Dr. Allan James Olson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 575 4th St, Kewaunee, WI 54216
Phone: 920-338-4640    Fax: 920-338-0479

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.