David J Pencikowski, NP - Medicare Nurse Practitioner in South Milwaukee, WI

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David J Pencikowski, NP is a medicare enrolled "Nurse Practitioner" in South Milwaukee, Wisconsin. His current practice location is 3611 S Chicago Ave, South Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 762-2450.

David J Pencikowski is licensed to practice in Wisconsin (license number 3008-33) 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 1962579243.

Contact Information

David J Pencikowski, NP
3611 S Chicago Ave,
South Milwaukee, WI 53172-3738
(414) 762-2450
Not Available

Map and Direction




Provider's Profile

Full NameDavid J Pencikowski
GenderMale
SpecialityNurse Practitioner
Location3611 S Chicago Ave, South Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962579243
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254330327
  • Enrollment ID: I20061219000282

Medical Identifiers

Medical identifiers for David J Pencikowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962579243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3008-33 (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. David J Pencikowski allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. David J Pencikowski 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
David J Pencikowski, NP
3611 S Chicago Ave,
South Milwaukee, WI 53172-3738

Ph: (414) 762-2450		David J Pencikowski, NP
3611 S Chicago Ave,
South Milwaukee, WI 53172-3738

Ph: (414) 762-2450

Reviews and Comments


Nurse Practitioner Nurses in South Milwaukee, WI

Lindsey Marie Mena, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3601 S Chicago Ave, South Milwaukee, WI 53172
Phone: 414-764-4100    
Mrs. Marina Kovacevic Horschak, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2985 S Chicago Ave, South Milwaukee, WI 53172
Phone: 414-762-7322    Fax: 414-762-7327
Dina W Romero, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2985 S Chicago Ave, South Milwaukee, WI 53172
Phone: 414-762-7322    
Emily Ladich,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2901 South Chicago Avenue Ste 1, South Milwaukee, WI 53172
Phone: 866-825-3227    Fax: 484-351-3800
Mary Kosterman, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2424 15th Ave, South Milwaukee, WI 53172
Phone: 414-768-8055    Fax: 414-768-5720
Amy Jo Zahn, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 902 Milwaukee Avenue, South Milwaukee, WI 53172
Phone: 414-764-4003    Fax: 414-764-4005
Jessica Bosch, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 910 Manitoba Ave, South Milwaukee, WI 53172
Phone: 414-252-2239    

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.