Kathleen Qualheim, MD - Medicare Family Medicine in Shawano, WI

Kathleen Qualheim, MD is a medicare enrolled "Family Medicine" physician in Shawano, Wisconsin. Her current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 524-2161.

Kathleen Qualheim is licensed to practice in Wisconsin (license number 32763) 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 1386689008.

Contact Information

Kathleen Qualheim, MD
100 County Road B,
Shawano, WI 54166-7072
(715) 524-2161
(715) 524-8164

Map and Direction




Physician's Profile

Full NameKathleen Qualheim
GenderFemale
SpecialityFamily Medicine
Location100 County Road B, Shawano, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386689008
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 01/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0143273581
  • Enrollment ID: I20051221000252

Medical Identifiers

Medical identifiers for Kathleen Qualheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386689008NPI-NPPES
31768500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 32763 (Wisconsin)Primary

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. Kathleen Qualheim 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
Kathleen Qualheim, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3298
Kathleen Qualheim, MD
100 County Road B,
Shawano, WI 54166-7072

Ph: (715) 524-2161

Reviews and Comments


Family Medicine Doctors in Shawano, WI

Dr. Mindy Maria Frimodig, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Dr. Richard Dennis Sarnwick, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1346 E Green Bay St, Shawano, WI 54166
Phone: 715-526-8800    
Gregory Thatcher, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Dr. John Edward Laabs, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Tod C Lewis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1346 E Green Bay St, Shawano, WI 54166
Phone: 715-526-6244    
Alisha Frances Fahley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-524-8164
Cornelius W Hyzer Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    Fax: 715-526-3461

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.