Courtney Mcclintic, MD is a medicare enrolled "Family Medicine" physician in Green Lake, Wisconsin. Her current practice location is
670 County Road A, Green Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 294-0100.
Courtney Mcclintic is licensed to practice in Wisconsin (license number 82312) 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 1467080739.
Physician's Profile
Full Name | Courtney Mcclintic |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 670 County Road A, Green Lake, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467080739
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577925346
- Enrollment ID: I20230810000965
Medical Identifiers
Medical identifiers for Courtney Mcclintic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467080739 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 82312 (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. Courtney Mcclintic allows following entities to bill medicare on her behalf.
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
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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. Courtney Mcclintic 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 |
Courtney Mcclintic, MD 670 County Road A, Green Lake, WI 54941-8608 Ph: (920) 294-0100 | Courtney Mcclintic, MD 670 County Road A, Green Lake, WI 54941-8608 Ph: (920) 294-0100 |
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