DOUGLAS B MOERICKE PA
NPI 1366446841
Physician Assistant - Medical in Whitehall, WI

Active since June 13, 2005PECOS Enrolled
18601 LINCOLN ST, WHITEHALL, WI 54773(715) 538-4361 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas B Moericke Pa NPPES

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

DOUGLAS B MOERICKE PA (NPI 1366446841) is an individual medical provider in Whitehall, Wisconsin, licensed in Wisconsin (492) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366446841
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS B MOERICKECredential: PA
Location Address18601 LINCOLN STWhitehall, WI 54773-8605
Mailing Address18601 Lincoln StWhitehall, WI 54773-8605 · (715) 538-1712
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateMarch 19, 2019
NPI 1366446841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 492
18601 LINCOLN ST, Whitehall, WI 54773

Other Identifiers 1

Medicaid42940400WI

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 (PECOS)

Douglas B Moericke Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Occupational Therapist
18601 LINCOLN ST
WHITEHALL, WI 54773
Occupational Therapist
18601 LINCOLN ST
WHITEHALL, WI 54773
Physical Therapist (Orthopedic)
18601 LINCOLN ST
WHITEHALL, WI 54773
General Acute Care Hospital (Critical Access)
18601 LINCOLN ST
WHITEHALL, WI 54773
Nurse Practitioner
18601 LINCOLN ST
WHITEHALL, WI 54773
Occupational Therapist
18601 LINCOLN ST
WHITEHALL, WI 54773
Pharmacy (Institutional Pharmacy)
18601 LINCOLN ST
WHITEHALL, WI 54773
Social Worker
18601 LINCOLN ST
WHITEHALL, WI 54773

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 Douglas Moericke's NPI number?

The NPI number for Douglas Moericke is 1366446841. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Douglas Moericke located?

Douglas Moericke practices at 18601 Lincoln St, Whitehall, WI 54773. The listed phone number is (715) 538-4361.

What is Douglas Moericke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Douglas Moericke enrolled in Medicare?

Yes. Douglas Moericke is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Moericke accept?

Health plans from Medica list Douglas Moericke 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 Douglas Moericke was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.