Dr Lloyd Charles Cassidy Iv, MD - Medicare Family Practice in Green Bay, WI

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Dr Lloyd Charles Cassidy Iv, MD is a medicare enrolled "Family Medicine" physician in Green Bay, Wisconsin. He went to University Of California, San Francisco School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare, Incorporated, Thedacare Medical Center - Shawano, Inc. and his current practice location is 124 Siegler St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 605-3115.

Dr Lloyd Charles Cassidy Iv is licensed to practice in Wisconsin (license number 70125) 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 1457795569.

Contact Information

Dr Lloyd Charles Cassidy Iv, MD
124 Siegler St,
Green Bay, WI 54303-2636
(920) 605-3115
(920) 486-6826

Map and Direction




Physician's Profile

Full NameDr Lloyd Charles Cassidy Iv
GenderMale
SpecialityFamily Practice
Experience11 Years
Location124 Siegler St, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lloyd Charles Cassidy Iv attended and graduated from University Of California, San Francisco School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1457795569
  • Provider Enumeration Date: 04/18/2013
  • Last Update Date: 01/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810213451
  • Enrollment ID: I20190418001271

Medical Identifiers

Medical identifiers for Dr Lloyd Charles Cassidy Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457795569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036144493 (Illinois)Secondary
207Q00000XFamily Medicine Q6620 (Texas)Secondary
207Q00000XFamily Medicine 70125 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHospice
Thedacare Medical Center - ShawanoShawano, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509
Thedacare Medical Center - Shawano, Inc.589060583632

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 Lloyd Charles Cassidy Iv allows following entities to bill medicare on his behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameSt Mary's Hospital Medical Center Of Green Bay Inc-hospital Sisters
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649246877
PECOS PAC ID: 7719871268
Enrollment ID: O20040614000794
Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameSt Gianna Molla Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104426477
PECOS PAC ID: 2163836339
Enrollment ID: O20210129000133

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 Lloyd Charles Cassidy Iv 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 AddressPractice Location Address
Dr Lloyd Charles Cassidy Iv, MD
353 N Desplaines St Apt 607,
Chicago, IL 60661-1245

Ph: (847) 502-2979		Dr Lloyd Charles Cassidy Iv, MD
124 Siegler St,
Green Bay, WI 54303-2636

Ph: (920) 605-3115

Reviews and Comments


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Dr. Rachael E. Vanden Langenberg, D.O.
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Amy M Romandine Kratz, MD
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Matthew Krueger Jenson, MD
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Megan Leigh Grimm, DNP FNP-BC
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Phone: 920-884-3135    
Trent J Auguston, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.