Dr Antonio Ippolito Montemurro, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Pleasant Prairie, Wisconsin. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Froedtert South Inc and his current practice location is
9697 Saint Catherines Dr Ste 300, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 656-3338.
Dr Antonio Ippolito Montemurro is licensed to practice in Wisconsin (license number 1031-25) 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 1700126562.
Healthcare Provider's Profile
| Full Name | Dr Antonio Ippolito Montemurro |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 13 Years |
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| Location | 9697 Saint Catherines Dr Ste 300, Pleasant Prairie, 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:
- Dr Antonio Ippolito Montemurro graduated from medical school in 2011
NPI Data:
- NPI Number: 1700126562
- Provider Enumeration Date: 02/15/2013
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193944437
- Enrollment ID: I20140918000338
Medical Identifiers
Medical identifiers for Dr Antonio Ippolito Montemurro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700126562 | NPI | - | NPPES |
| 1700126562 | Medicaid | WI | |
| K400163324 | Other | WI | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 016005538 (Illinois) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 1031-25 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Froedtert South Inc | 9537071196 | 118 |
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. Dr Antonio Ippolito Montemurro allows following entities to bill medicare on his behalf.
| Provider Name | Froedtert South Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558305284
PECOS PAC ID: 9537071196
Enrollment ID: O20031103000493 |
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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. Dr Antonio Ippolito Montemurro 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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Dr Antonio Ippolito Montemurro, DPM
6308 8th Ave,
Kenosha, WI 53143-5031
Ph: (262) 656-3313 | Dr Antonio Ippolito Montemurro, DPM
9697 Saint Catherines Dr Ste 300,
Pleasant Prairie, WI 53158-2118
Ph: (262) 656-3338 |
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