Dr Jodi M Kornak, MD is a medicare enrolled "Otolaryngology" physician in Muskego, Wisconsin. She went to Medical College Of Wisconsin and graduated in 1995 and has 29 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Lakeshore Medical Clinic Llc and her current practice location is
S68w15500 Janesville Rd, Muskego, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 422-4000.
Dr Jodi M Kornak is licensed to practice in Wisconsin (license number 43394) 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 1619062072.
Physician's Profile
Full Name | Dr Jodi M Kornak |
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Gender | Female |
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Speciality | Otolaryngology |
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Experience | 29 Years |
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Location | S68w15500 Janesville Rd, Muskego, Wisconsin |
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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:
- Dr Jodi M Kornak attended and graduated from Medical College Of Wisconsin in 1995
NPI Data:
- NPI Number: 1619062072
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416984224
- Enrollment ID: I20050725000030
Medical Identifiers
Medical identifiers for Dr Jodi M Kornak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619062072 | NPI | - | NPPES |
34109800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 43394 (Wisconsin) | Primary |
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. Dr Jodi M Kornak allows following entities to bill medicare on her behalf.
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
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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. Dr Jodi M Kornak 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 |
Dr Jodi M Kornak, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Jodi M Kornak, MD S68w15500 Janesville Rd, Muskego, WI 53150-2613 Ph: (414) 422-4000 |
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