Shirley M Potsch, MD is a medicare enrolled "Pediatrics" physician in Summit, Wisconsin. Her current practice location is
36500 Aurora Dr, Summit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 434-1000.
Shirley M Potsch is licensed to practice in Wisconsin (license number 65316-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316386279.
Physician's Profile
| Full Name | Shirley M Potsch |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 36500 Aurora Dr, Summit, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316386279
- Provider Enumeration Date: 06/24/2013
- Last Update Date: 09/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991938300
- Enrollment ID: I20160812000291
Medical Identifiers
Medical identifiers for Shirley M Potsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316386279 | NPI | - | NPPES |
| 100058955 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 6993 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 65316-20 (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. Shirley M Potsch allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164 |
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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. Shirley M Potsch 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 |
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Shirley M Potsch, MD
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Shirley M Potsch, MD
36500 Aurora Dr,
Summit, WI 53066-4899
Ph: (262) 434-1000 |
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