Steven Frederick Legate, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Lomira, Wisconsin. His current practice location is
N11896 State Road 175, Lomira, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(209) 269-5000.
Steven Frederick Legate is licensed to practice in Wisconsin (license number 7309-23) 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 1245872761.
Provider's Profile
| Full Name | Steven Frederick Legate |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | N11896 State Road 175, Lomira, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245872761
- Provider Enumeration Date: 10/16/2019
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294167839
- Enrollment ID: I20191119003293
Medical Identifiers
Medical identifiers for Steven Frederick Legate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245872761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 7309-23 (Wisconsin) | Primary |
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. Steven Frederick Legate 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 |
Steven Frederick Legate, PHYSICIAN ASSISTANT 705 Village Green Way Ste 101, West Bend, WI 53095 Ph: (920) 351-4530 | Steven Frederick Legate, PHYSICIAN ASSISTANT N11896 State Road 175, Lomira, WI 53048-9209 Ph: (209) 269-5000 |
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