Chad E Hermsdorf, PA-C is a medicare enrolled "Physician Assistant" in Brooklyn, Wisconsin. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mercy Health System Corporation and his current practice location is
N9115 Legler Rd, Brooklyn, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 279-7085.
Chad E Hermsdorf is licensed to practice in Wisconsin (license number 1741-023) 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 1952369134.
Provider's Profile
| Full Name | Chad E Hermsdorf |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | N9115 Legler Rd, Brooklyn, 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. |
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Medical Education and Training:
- Chad E Hermsdorf graduated from nursing school in 2004
NPI Data:
- NPI Number: 1952369134
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 04/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 3375519838
- Enrollment ID: I20040907000393
Medical Identifiers
Medical identifiers for Chad E Hermsdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952369134 | NPI | - | NPPES |
| 41988900 | Medicaid | WI | |
| 60504 | Other | WI | DEAN HEALTH INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1741-023 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Health System Corporation | 7416860440 | 749 |
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. Chad E Hermsdorf allows following entities to bill medicare on his 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. Chad E Hermsdorf 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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Chad E Hermsdorf, PA-C
N9115 Legler Rd,
Brooklyn, WI 53521-9800
Ph: (608) 279-7085 | Chad E Hermsdorf, PA-C
N9115 Legler Rd,
Brooklyn, WI 53521-9800
Ph: (608) 279-7085 |
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