Dr Jonathan Lee Eichelsdoerfer, MD in Green Bay, WI

Dr Jonathan Lee Eichelsdoerfer, MD is a medicare enrolled "Family Medicine" physician in Green Bay, Wisconsin. His current practice location is 1160 Kepler Dr, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8000.

Dr Jonathan Lee Eichelsdoerfer is licensed to practice in Wisconsin (license number 81936) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518583236.

Contact Information

	Dr Jonathan Lee Eichelsdoerfer, MD
	1160 Kepler Dr, Green Bay, WI 54311-8321
	(920) 288-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Lee Eichelsdoerfer
Gender	Male
Speciality	Family Medicine
Location	1160 Kepler Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518583236
Provider Enumeration Date: 06/18/2020
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1658733696
Enrollment ID: I20230808003119

Medical Identifiers

Medical identifiers for Dr Jonathan Lee Eichelsdoerfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518583236	NPI	-	NPPES
100244153	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4351046904 (Michigan)	Secondary
207Q00000X	Family Medicine	81936 (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. Dr Jonathan Lee Eichelsdoerfer allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Jonathan Lee Eichelsdoerfer 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 Jonathan Lee Eichelsdoerfer, MD 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-8000	Dr Jonathan Lee Eichelsdoerfer, MD 1160 Kepler Dr, Green Bay, WI 54311-8321 Ph: (920) 288-8000

Reviews and Comments

Family Medicine Doctors in Green Bay, WI

Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792
Megan Leigh Grimm, DNP FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-884-3135
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700

Dr Jonathan Lee Eichelsdoerfer, MD - Medicare Family Medicine in Green Bay, WI