Dr Jeffrey Joseph Bongiorno, DPM is a medicare enrolled "Podiatrist" provider in Port Washington, Wisconsin. His current practice location is
1317 W Grand Ave, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 284-8800.
Dr Jeffrey Joseph Bongiorno is licensed to practice in Wisconsin (license number 798025) 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 1770599953.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Joseph Bongiorno |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1317 W Grand Ave, Port Washington, 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 Jeffrey Joseph Bongiorno attended and graduated from in
NPI Data:
- NPI Number: 1770599953
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 11/19/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jeffrey Joseph Bongiorno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770599953 | NPI | - | NPPES |
| P00085509 | Other | | RR MCR |
| 41755100 | Medicaid | WI | |
| 43227800 | Medicaid | WI | |
| 4998210001 | Other | | DMERC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 798025 (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. Dr Jeffrey Joseph Bongiorno 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 |
|---|
Dr Jeffrey Joseph Bongiorno, DPM
2132 Willow Pond Way,
Grafton, WI 53024-9102
Ph: (262) 268-1789 | Dr Jeffrey Joseph Bongiorno, DPM
1317 W Grand Ave,
Port Washington, WI 53074-2075
Ph: (262) 284-8800 |
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