Amy S Coulthard-atwater, DO - Medicare Family Practice in Kaukauna, WI

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Amy S Coulthard-atwater, DO is a medicare enrolled "Family Medicine" physician in Kaukauna, Wisconsin. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baycare Aurora Llc, Aurora Medical Group, Inc. and her current practice location is 1500 Arbor Way, Kaukauna, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 766-3200.

Amy S Coulthard-atwater is licensed to practice in Wisconsin (license number 48375) 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 1851369144.

Contact Information

Amy S Coulthard-atwater, DO
1500 Arbor Way,
Kaukauna, WI 54130-7305
(920) 766-3200
Not Available

Map and Direction




Physician's Profile

Full NameAmy S Coulthard-atwater
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location1500 Arbor Way, Kaukauna, 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:
  • Amy S Coulthard-atwater graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1851369144
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587751284
  • Enrollment ID: I20071026000750

Medical Identifiers

Medical identifiers for Amy S Coulthard-atwater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851369144NPI-NPPES
43544200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 48375 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Aurora Llc0244130557175
Aurora Medical Group, Inc.67097942583269

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. Amy S Coulthard-atwater allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579

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. Amy S Coulthard-atwater 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
Amy S Coulthard-atwater, DO
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (414) 389-2377		Amy S Coulthard-atwater, DO
1500 Arbor Way,
Kaukauna, WI 54130-7305

Ph: (920) 766-3200

Reviews and Comments


Family Medicine Doctors in Kaukauna, WI

Dr. Paul H Russo, MD
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Dr. Joseph C Graunke, MD
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Dr. Bruce R Danz, MD
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Dr. Timothy P Culligan, MD
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Dr. Gregory A Johnson, MD
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Dr. Jennifer L Schoening, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 305 E 12th St, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659

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.