DOUGLAS B MOERICKE PA
NPI 1366446841
Physician Assistant - Medical in Whitehall, WI
NPI Status: Active since June 13, 2005
Contact Information
18601 LINCOLN ST
WHITEHALL, WI
ZIP 54773
Phone: (715) 538-4361
- Individual
- Male
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About DOUGLAS MOERICKE
This page provides the complete NPI Profile along with additional information for Douglas Moericke, a primary care provider established in Whitehall, Wisconsin with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1366446841 assigned on June 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 492 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1366446841
- Provider Name
- DOUGLAS B MOERICKE PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 18601 LINCOLN ST WHITEHALL, WI 54773
- Location Phone
- (715) 538-4361
- Mailing Address
- 18601 LINCOLN ST WHITEHALL, WI 54773
- Mailing Phone
- (715) 538-1712
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2005
- Last Update Date
- 03-19-2019
- Code Navigator
A primary care provider (PCP) like Douglas Moericke sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 492
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42940400 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Douglas Moericke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 4 | 6 | 8 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 4 | 12 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 4 + 1 + 2 + 8 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1366446841 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104936848 | CURTIS C CARLSON P.T. Individual | Physical Therapist (Orthopedic) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1841398765 | DEBRA LYNN TIDQUIST APRN-BC Individual | Nurse Practitioner (Family) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1801942230 | MR. DANIEL R BACKMAN P.T. Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1598938714 | MRS. JILL WIDIKER MS, CCC-SLP Individual | Speech-Language Pathologist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1801053657 | DANA T. HALDERSON PT Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1811217482 | TRI-COUNTY MEMORIAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1275829335 | KELLY ISABEL MOHR P.T. Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1700145117 | MS. ANGEL MAY OLSON OTA Individual | Occupational Therapy Assistant | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1053550160 | PAMELA A WELTZIEN OT Individual | Occupational Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1487998936 | LOREN RAY CARRELL PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1982944138 | STACY ANN HEATH Individual | Speech-Language Pathologist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1972936433 | ALLISON KORANDA DPT Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1548693963 | KARI MARIE BAUMEL COTA Individual | Occupational Therapy Assistant | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1508165689 | TODD D THILL PT Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1558606939 | GUNDERSEN CLINIC LTD Organization | Clinic/Center | 18601 LINCOLN ST WHITEHALL, WI 54773 (608) 782-7300 |
| 1023376712 | MRS. AMANDA JANE JANKE OTR/L Individual | Occupational Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1713 |
| 1487973681 | MS. KRISTINE BENUSA R.D. Individual | Dietitian, Registered | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
| 1396741823 | ANGELA E HOUSE PA Individual | Physician Assistant (Medical) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4355 |
| 1952880338 | KELLY JEAN PRONSCHINSKE PT Individual | Physical Therapist | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-1712 |
| 1124063573 | TRI-COUNTY MEMORIAL HOSPITAL, INC. Organization | General Acute Care Hospital (Critical Access) | 18601 LINCOLN ST WHITEHALL, WI 54773 (715) 538-4361 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366446841, enumerated in the NPI registry as an "individual" on June 13, 2005
The provider is located at 18601 Lincoln St Whitehall, Wi 54773 and the phone number is (715) 538-4361
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.