Colleen F Cassidy, MD in Beaver Dam, WI - Medicare Family Practice

Colleen F Cassidy, MD is a medicare enrolled "Family Medicine" physician in Beaver Dam, Wisconsin. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Lakeshore Medical Clinic Llc and her current practice location is 130 Corporate Dr, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-3102.

Colleen F Cassidy is licensed to practice in Wisconsin (license number 61855-20) 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 1275899841.

Contact Information

	Colleen F Cassidy, MD
	130 Corporate Dr, Beaver Dam, WI 53916-3116
	(920) 887-3102
	(920) 855-8790

Map and Direction

Physician's Profile

Full Name	Colleen F Cassidy
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	130 Corporate Dr, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colleen F Cassidy graduated from medical school in 2012

NPI Data:

NPI Number: 1275899841
Provider Enumeration Date: 04/07/2012
Last Update Date: 03/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3577878271
Enrollment ID: I20150810001971

Medical Identifiers

Medical identifiers for Colleen F Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275899841	NPI	-	NPPES
1275899841	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	61855-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Milwaukee, WI	Home health agency
Aurora St Lukes Medical Center	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeshore Medical Clinic Llc	7719890730	293

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. Colleen F Cassidy allows following entities to bill medicare on her behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

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. Colleen F Cassidy 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 Address	Practice Location Address
Colleen F Cassidy, MD 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 887-3102	Colleen F Cassidy, MD 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 887-3102

Reviews and Comments

Family Medicine Doctors in Beaver Dam, WI

D Brynley Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N8070 Oak Ridge Dr, Beaver Dam, WI 53916 Phone: 920-356-6232
Edward F Cody, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave, Ste 510, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8788
Dr. Rula Al-baghdadi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 S University Ave Ste 400, Beaver Dam, WI 53916 Phone: 208-887-5975
Jamie S Deering, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 S University Ave Ste 500, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8770
Catherine Em Nelson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-877-3102 Fax: 920-855-8790
Samantha Seiler, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 N Spring St, Beaver Dam, WI 53916 Phone: 920-644-0317 Fax: 920-644-0318

Colleen F Cassidy, MD - Medicare Family Practice in Beaver Dam, WI