Kelly Coker, DO - Medicare Family Medicine in Portage, WI

  1. Home
  2. Family Medicine
  3. WI
  4. Portage
Kelly Coker, DO is a medicare enrolled "Family Medicine" physician in Portage, Wisconsin. Her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 745-5145.

Kelly Coker is licensed to practice in Wisconsin (license number 81246-21) 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 1063037000.

Contact Information

Kelly Coker, DO
2817 New Pinery Rd,
Portage, WI 53901-9240
(608) 745-5145
Not Available

Map and Direction




Physician's Profile

Full NameKelly Coker
GenderFemale
SpecialityFamily Medicine
Location2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063037000
  • Provider Enumeration Date: 06/16/2020
  • Last Update Date: 06/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618338096
  • Enrollment ID: I20230801003990

Medical Identifiers

Medical identifiers for Kelly Coker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063037000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01321565 (Wisconsin)Secondary
207Q00000XFamily Medicine 81246-21 (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. Kelly Coker allows following entities to bill medicare on her behalf.
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameAspirus Riverview Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295754844
PECOS PAC ID: 4587658182
Enrollment ID: O20040414000945

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. Kelly Coker 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
Kelly Coker, DO
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 745-4589		Kelly Coker, DO
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 745-5145

Reviews and Comments


Family Medicine Doctors in Portage, WI

Richard J Qualy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Gerald L Krumpos, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3060
Dr. Jamie John Kling, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Dr. Sarah M Haroldson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3990
Dr. Vasilisa Mironovich, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    Fax: 608-745-6393
David D Gregory, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-724-7161    Fax: 608-745-3060

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.