MARY ELIZABETH DEWATERS DO
NPI 1235572447
Family Medicine in Milwaukee, WI

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment
210 W CAPITOL DR, MILWAUKEE, WI 53212(144) 906-5306(144) 906-4533 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2020, Nov 15, 2016 (2 updates tracked since 2016).

About Mary Elizabeth Dewaters Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH DEWATERS DO (NPI 1235572447) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (64204) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).

NPPES Registry Identity

NPI1235572447
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY ELIZABETH DEWATERSCredential: DO
Location Address210 W CAPITOL DRMilwaukee, WI 53212-3732
Mailing Address210 W Capitol Dr.Milwaukee, WI 53212-3732 · (414) 906-5306 · Fax (144) 906-4533
Fax(144) 906-4533
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013
Enumeration DateApril 8, 2013
Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration
NPI 1235572447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 64204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 W CAPITOL DR, Milwaukee, WI 53212

Other Identifiers 1

Medicaid1235572447WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Elizabeth Dewaters Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638458391
PECOS Enrollment IDI20161121000861
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
210 W CAPITOL DR
MILWAUKEE, WI 53212
Social Worker (Clinical)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Psychiatry & Neurology (Psychiatry)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Social Worker (Clinical)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Nurse Practitioner (Psychiatric/Mental Health)
210 W CAPITOL DR
MILWAUKEE, WI 53212
Counselor (Professional)
210 W CAPITOL DR
MILWAUKEE, WI 53212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dewaters's NPI number?

The NPI number for Mary Dewaters is 1235572447. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Mary Dewaters located?

Mary Dewaters practices at 210 W Capitol Dr, Milwaukee, WI 53212. The listed phone number is (144) 906-5306.

What is Mary Dewaters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Dewaters enrolled in Medicare?

Yes. Mary Dewaters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Dewaters accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Mary Dewaters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Dewaters was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.