Jeanne M Lyke, MD is a medicare enrolled "Pediatrics" physician in Ripon, Wisconsin. Her current practice location is
835 Parkside St, Ripon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 745-3560.
Jeanne M Lyke is licensed to practice in Wisconsin (license number 34644) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033103833.
Physician's Profile
Full Name | Jeanne M Lyke |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 835 Parkside St, Ripon, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033103833
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072405646
- Enrollment ID: I20040327000407
Medical Identifiers
Medical identifiers for Jeanne M Lyke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033103833 | NPI | - | NPPES |
31943400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34644 (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. Jeanne M Lyke allows following entities to bill medicare on her behalf.
Entity Name | Agnesian Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
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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. Jeanne M Lyke 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 |
Jeanne M Lyke, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8332 | Jeanne M Lyke, MD 835 Parkside St, Ripon, WI 54971-8505 Ph: (920) 745-3560 |
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