Amanda Anne Kossak, MD - Medicare Family Practice in Appleton, WI

Amanda Anne Kossak, MD is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare, Incorporated and her current practice location is 2500 E Capitol Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 830-6877.

Amanda Anne Kossak is licensed to practice in Wisconsin (license number 67974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154783256.

Contact Information

Amanda Anne Kossak, MD
2500 E Capitol Dr,
Appleton, WI 54911-8735
(920) 830-6877
Not Available

Map and Direction




Physician's Profile

Full NameAmanda Anne Kossak
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location2500 E Capitol Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Anne Kossak graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1154783256
  • Provider Enumeration Date: 03/28/2016
  • Last Update Date: 07/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072876747
  • Enrollment ID: I20190927002029

Medical Identifiers

Medical identifiers for Amanda Anne Kossak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154783256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 67974 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Anne Kossak allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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. Amanda Anne Kossak 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 AddressPractice Location Address
Amanda Anne Kossak, MD
2500 E Capitol Dr,
Appleton, WI 54911-8735

Ph: (920) 738-4600
Amanda Anne Kossak, MD
2500 E Capitol Dr,
Appleton, WI 54911-8735

Ph: (920) 830-6877

Reviews and Comments


Family Medicine Doctors in Appleton, WI

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Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.