Dr Lawrence E Colassacco, MD is a medicare enrolled "Family Medicine" physician in Depere, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is
1881 Chicago St, Depere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 403-8000.
Dr Lawrence E Colassacco is licensed to practice in Wisconsin (license number 46043) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366451429.
Physician's Profile
| Full Name | Dr Lawrence E Colassacco |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 1881 Chicago St, Depere, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lawrence E Colassacco attended and graduated from Medical College Of Wisconsin in 2001
NPI Data:
- NPI Number: 1366451429
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204816523
- Enrollment ID: I20040726000550
Medical Identifiers
Medical identifiers for Dr Lawrence E Colassacco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366451429 | NPI | - | NPPES |
| 34504400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 46043 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 Lawrence E Colassacco allows following entities to bill medicare on his 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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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 Lawrence E Colassacco 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 |
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Dr Lawrence E Colassacco, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843
Ph: (414) 647-6326 | Dr Lawrence E Colassacco, MD
1881 Chicago St,
Depere, WI 54115
Ph: (920) 403-8000 |
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