Dr Rory L Fry, MD - Medicare Family Medicine in Grand Chute, WI

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Dr Rory L Fry, MD is a medicare enrolled "Family Medicine" physician in Grand Chute, Wisconsin. His current practice location is 3750 Investors Ct, Grand Chute, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dr Rory L Fry is licensed to practice in Wisconsin (license number 75148) 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 1306308267.

Contact Information

Dr Rory L Fry, MD
3750 Investors Ct,
Grand Chute, WI 54913-2330
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameDr Rory L Fry
GenderMale
SpecialityFamily Medicine
Location3750 Investors Ct, Grand Chute, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306308267
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446652523
  • Enrollment ID: I20220907001913

Medical Identifiers

Medical identifiers for Dr Rory L Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306308267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 75148 (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 Rory L Fry allows following entities to bill medicare on his behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
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

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 Rory L Fry 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 Rory L Fry, MD
20125 Turkey Ln,
Richland Center, WI 53581-8580

Ph: (608) 604-6524		Dr Rory L Fry, MD
3750 Investors Ct,
Grand Chute, WI 54913-2330

Ph: (920) 496-4700

Reviews and Comments


Family Medicine Doctors in Grand Chute, WI

Hannah R Tumilty, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3750 Investors Ct, Grand Chute, WI 54913
Phone: 920-496-4700    

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.