Affiliated Health Of Wisconsin Ltd. - Medicare in Wauwatosa, WI

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Affiliated Health Of Wisconsin Ltd. is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Wauwatosa, Wisconsin. Their current practice location is 2626 N 76th St, Suite 105, Wauwatosa, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (414) 774-7794.

Affiliated Health Of Wisconsin Ltd. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Affiliated Health Of Wisconsin Ltd. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063433977.

Contact Information

Affiliated Health Of Wisconsin Ltd.
2626 N 76th St, Suite 105,
Wauwatosa, WI 53213-1137
(414) 774-7794
(414) 607-3971

Map and Direction




Healthcare Provider's Profile

Full NameAffiliated Health Of Wisconsin Ltd.
TypeFacility
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location2626 N 76th St, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063433977
  • Provider Enumeration Date: 07/23/2006
  • Last Update Date: 08/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880670835
  • Enrollment ID: O20040629000727

Medical Identifiers

Medical identifiers for Affiliated Health Of Wisconsin Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063433977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
2471C3401XRadiologic Technologist - Computed Tomography (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Affiliated Health Of Wisconsin Ltd. acts as a billing entity for following providers:
Provider NameJulie M Lewandowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437114220
PECOS PAC ID: 2567356751
Enrollment ID: I20040210000128
Provider NameMatthew Perchuk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346356565
PECOS PAC ID: 8628085263
Enrollment ID: I20060307000651
Provider NameJay L Mackman
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1821194184
PECOS PAC ID: 3577549534
Enrollment ID: I20090424000374
Provider NameDeanne Y Jacobsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366539207
PECOS PAC ID: 7810172269
Enrollment ID: I20110428000115
Provider NameJessica Lynn Kelderman
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1588808489
PECOS PAC ID: 6204097199
Enrollment ID: I20120420000239
Provider NameJeanne M Denk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962678086
PECOS PAC ID: 2961654934
Enrollment ID: I20121221000020
Provider NameDrew Goede
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952785719
PECOS PAC ID: 1658688163
Enrollment ID: I20150916001255
Provider NameKellie R Hanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528424249
PECOS PAC ID: 0244533164
Enrollment ID: I20160126001835
Provider NameJordan Z Olp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194253120
PECOS PAC ID: 0042581043
Enrollment ID: I20170809003793
Provider NameJacob A Raml
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740709187
PECOS PAC ID: 0345506630
Enrollment ID: I20171101002527
Provider NameSam D Goldner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679203582
PECOS PAC ID: 2163807702
Enrollment ID: I20220916002268
Provider NamePascalle C Dumez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063631570
PECOS PAC ID: 6608977590
Enrollment ID: I20221201000902
Provider NameMary T Billerbeck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427867449
PECOS PAC ID: 6002336963
Enrollment ID: I20250221001653

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. Affiliated Health Of Wisconsin Ltd. 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
Affiliated Health Of Wisconsin Ltd.
2626 N 76th St, Suite 105,
Wauwatosa, WI 53213-1137

Ph: (414) 774-7794		Affiliated Health Of Wisconsin Ltd.
2626 N 76th St, Suite 105,
Wauwatosa, WI 53213-1137

Ph: (414) 774-7794

Reviews and Comments



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.