Peter David Holzwarth, MD in Neenah, WI

Peter David Holzwarth, MD is a medicare enrolled "Pediatrics" physician in Neenah, Wisconsin. His current practice location is 120 Second Street, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 969-7900.

Peter David Holzwarth is licensed to practice in Wisconsin (license number 35954) 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 1629001912.

Contact Information

	Peter David Holzwarth, MD
	120 Second Street, Neenah, WI 54956-2883
	(920) 969-7900
	(920) 969-7979

Map and Direction

Physician's Profile

Full Name	Peter David Holzwarth
Gender	Male
Speciality	Pediatrics
Location	120 Second Street, Neenah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629001912
Provider Enumeration Date: 07/09/2006
Last Update Date: 01/14/2019

Medicare PECOS Information:

PECOS PAC ID: 7012063878
Enrollment ID: I20090918000485

Medical Identifiers

Medical identifiers for Peter David Holzwarth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629001912	NPI	-	NPPES
1629001912	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35954 (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. Peter David Holzwarth 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	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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	Ascension Ne Wisconsin, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037

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. Peter David Holzwarth 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
Peter David Holzwarth, MD 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615	Peter David Holzwarth, MD 120 Second Street, Neenah, WI 54956-2883 Ph: (920) 969-7900

Reviews and Comments

Pediatrics Doctors in Neenah, WI

Jennifer E Szmanda, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Deerwood Ave, Neenah, WI 54956 Phone: 920-727-9982 Fax: 920-727-9983
Dr. Erik Verhage, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7900
William J Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600
Dr. Abraham Joseph Liebeskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956 Phone: 920-969-7990 Fax: 920-722-4224
Patricia H Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600
Jessica Mcdonald, DNP, NNP-BC, APNP Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7990
Kevin E. Gentile, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 Fax: 920-751-9667

Peter David Holzwarth, MD - Medicare Pediatrics in Neenah, WI