Andrea R Carberry, MD - Medicare Pediatrics in Neenah, WI

Andrea R Carberry, MD is a medicare enrolled "Pediatrics" physician in Neenah, Wisconsin. Her current practice location is 130 2nd St, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 969-7906.

Andrea R Carberry is licensed to practice in Wisconsin (license number 57157) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225357122.

Contact Information

Andrea R Carberry, MD
130 2nd St,
Neenah, WI 54956-2883
(920) 969-7906
(920) 969-7979

Map and Direction




Physician's Profile

Full NameAndrea R Carberry
GenderFemale
SpecialityPediatrics
Location130 2nd St, Neenah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225357122
  • Provider Enumeration Date: 05/18/2010
  • Last Update Date: 12/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7315182698
  • Enrollment ID: I20130315000203

Medical Identifiers

Medical identifiers for Andrea R Carberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225357122NPI-NPPES
1225357122MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 57157 (Wisconsin)Secondary
208000000XPediatrics 57157 (Wisconsin)Primary

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. Andrea R Carberry 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
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameAscension Ne Wisconsin, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407803638
PECOS PAC ID: 7719897784
Enrollment ID: O20061027000037

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. Andrea R Carberry 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
Andrea R Carberry, MD
130 2nd St,
Neenah, WI 54956-2883

Ph: (920) 969-7906
Andrea R Carberry, MD
130 2nd St,
Neenah, WI 54956-2883

Ph: (920) 969-7906

Reviews and Comments


Pediatrics Doctors in Neenah, WI

Jennifer E Szmanda, D.O.
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Medicare: Medicare Enrolled
Practice Location: 640 Deerwood Ave, Neenah, WI 54956
Phone: 920-727-9982    Fax: 920-727-9983
William J Kasper, MD
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Medicare: Medicare Enrolled
Practice Location: 740 Deerwood Ave, Neenah, WI 54956
Phone: 920-751-9600    
Dr. Abraham Joseph Liebeskind, MD
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Medicare: Medicare Enrolled
Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956
Phone: 920-969-7990    Fax: 920-722-4224
Patricia H Kasper, MD
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Medicare: Medicare Enrolled
Practice Location: 740 Deerwood Ave, Neenah, WI 54956
Phone: 920-751-9600    
Jessica Mcdonald, DNP, NNP-BC, APNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 130 2nd St, Neenah, WI 54956
Phone: 920-969-7990    
Kevin E. Gentile, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 740 Deerwood Ave, Neenah, WI 54956
Phone: 920-751-9600    Fax: 920-751-9667
Kelly M Meyer, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 740 Deerwood Ave, Neenah, WI 54956
Phone: 920-751-9600    

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).

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