Jared M Kohlenberg, DO - Medicare Family Practice in Green Lake, WI

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Jared M Kohlenberg, DO is a medicare enrolled "Family Medicine" physician in Green Lake, Wisconsin. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare, Incorporated and his current practice location is 670 County Road A, Green Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 294-0100.

Jared M Kohlenberg is licensed to practice in Wisconsin (license number 57315-21) 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 1548498298.

Contact Information

Jared M Kohlenberg, DO
670 County Road A,
Green Lake, WI 54941-8608
(920) 294-0100
(920) 294-0123

Map and Direction




Physician's Profile

Full NameJared M Kohlenberg
GenderMale
SpecialityFamily Practice
Experience15 Years
Location670 County Road A, Green Lake, 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:
  • Jared M Kohlenberg attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2009
  NPI Data:
  • NPI Number: 1548498298
  • Provider Enumeration Date: 07/01/2009
  • Last Update Date: 05/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2264613132
  • Enrollment ID: I20120925000477

Medical Identifiers

Medical identifiers for Jared M Kohlenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548498298NPI-NPPES
1548498298MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57315-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHome health agency
St Agnes Hsptl Hospice HopeFond du lac, WIHospice
Thedacare At HomeAppleton, WIHospice
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Berlin Memorial HospitalBerlin, WIHospital
Ripon Medical CenterRipon, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Markesan Resident HomeMarkesan, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509

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. Jared M Kohlenberg 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 - Berlin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214

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. Jared M Kohlenberg 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
Jared M Kohlenberg, DO
670 County Road A,
Green Lake, WI 54941-8608

Ph: (920) 294-0100		Jared M Kohlenberg, DO
670 County Road A,
Green Lake, WI 54941-8608

Ph: (920) 294-0100

Reviews and Comments


Family Medicine Doctors in Green Lake, WI

Courtney Mcclintic, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 670 County Road A, Green Lake, WI 54941
Phone: 920-294-0100    Fax: 920-294-0123
Dr. Thomas Rice Willett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N6205 Busse Rd, Green Lake, WI 54941
Phone: 920-294-3444    Fax: 920-294-6660

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.