Katie Lynn Wolters, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hartford, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2010 and has 14 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Great Lakes Pathologists Sc and her current practice location is
1032 E Sumner St, Hartford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 673-2300.
Katie Lynn Wolters is licensed to practice in Wisconsin (license number 63888-20) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649595547.
Physician's Profile
Full Name | Katie Lynn Wolters |
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Gender | Female |
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Speciality | Pathology |
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Experience | 14 Years |
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Location | 1032 E Sumner St, Hartford, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katie Lynn Wolters attended and graduated from Medical College Of Wisconsin in 2010
NPI Data:
- NPI Number: 1649595547
- Provider Enumeration Date: 04/02/2010
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365696648
- Enrollment ID: I20150625002382
Medical Identifiers
Medical identifiers for Katie Lynn Wolters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649595547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 63888-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Great Lakes Pathologists Sc | 7315850682 | 58 |
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. Katie Lynn Wolters allows following entities to bill medicare on her behalf.
Entity Name | Great Lakes Pathologists Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689695934 PECOS PAC ID: 7315850682 Enrollment ID: O20031112000106 |
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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. Katie Lynn Wolters 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 |
Katie Lynn Wolters, MD 13955 Grant Pl, Elm Grove, WI 53122-1208 Ph: (414) 232-9540 | Katie Lynn Wolters, MD 1032 E Sumner St, Hartford, WI 53027-1608 Ph: (262) 673-2300 |
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