Great Lakes Dermatology

ActiveOrganizationDermatology
NPI issued: May 11, 2007

Quick Facts

NPI Number
1205041688
TypeOrganization
StatusActive
SpecialtyDermatology
Taxonomy207NS0135X — Dermatology
Phone
(800) 485-8640
StateWI

NPI Validation Status: Verified

Valid 10-digit NPI number (1205041688)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 11, 2007)
Data source: CMS NPPES

Provider Overview

GREAT LAKES DERMATOLOGY is a Dermatology provider based in Pleasant Prairie, WI who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205041688
Provider TypeOrganization
StatusActive
Enumeration DateMay 11, 2007

Practice Location

CityPleasant Prairie
StateWI
ZIP Code53158-1984
Phone(800) 485-8640

Specialties & Licenses

★ Primary
SpecialtyDermatology
Taxonomy Code207NS0135X
License StateWI

Mailing Address

CityPleasant Prairie
StateWI
ZIP Code53158-1984
Phone(800) 485-8640
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1205041688 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205041688for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205041688 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dermatology

Dermatologists specialize in the medical, surgical, and cosmetic treatment of disorders affecting the skin, hair, nails, and mucous membranes.

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1,215
Dermatology Providers in the US

Similar Providers in Pleasant Prairie

Forefront Dermatology, S.c.

📍 Pleasant Prairie, WI 53158

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People Also Ask

What is Great Lakes Dermatology's NPI number?
Great Lakes Dermatology's NPI number is 1205041688, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Great Lakes Dermatology's NPI currently active?
Yes, Great Lakes Dermatology's NPI status is Active as of the latest CMS NPPES database updates.
What does Great Lakes Dermatology specialize in?
Great Lakes Dermatology specializes in Dermatology. The healthcare taxonomy code associated with this specialty is 207NS0135X.
Where does Great Lakes Dermatology practice?
Great Lakes Dermatology practices in Pleasant Prairie, WI 53158-1984.
When was Great Lakes Dermatology's NPI issued?
Great Lakes Dermatology's NPI was issued on May 11, 2007.
What is Great Lakes Dermatology's provider type?
Great Lakes Dermatology is registered as an Organization under CMS NPI Type 2.