Lia Marie Borja Sabalo, MD - Medicare Pediatrics in Neenah, WI

Lia Marie Borja Sabalo, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Neenah, Wisconsin. Her current practice location is 130 2nd St, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 969-7900.

Lia Marie Borja Sabalo is licensed to practice in Wisconsin (license number 67030) 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 1427345396.

Contact Information

Lia Marie Borja Sabalo, MD
130 2nd St,
Neenah, WI 54956-2883
(920) 969-7900
Not Available

Map and Direction




Physician's Profile

Full NameLia Marie Borja Sabalo
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location130 2nd St, Neenah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427345396
  • Provider Enumeration Date: 06/29/2011
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234378126
  • Enrollment ID: I20170724001750

Medical Identifiers

Medical identifiers for Lia Marie Borja Sabalo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427345396NPI-NPPES
1427345396MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.059343 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 67030 (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. Lia Marie Borja Sabalo allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameAscension Ne Wisconsin, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407803638
PECOS PAC ID: 7719897784
Enrollment ID: O20061027000037

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. Lia Marie Borja Sabalo 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
Lia Marie Borja Sabalo, MD
130 2nd St,
Neenah, WI 54956-2883

Ph: (920) 969-7900
Lia Marie Borja Sabalo, MD
130 2nd St,
Neenah, WI 54956-2883

Ph: (920) 969-7900

Reviews and Comments


Pediatrics Doctors in Neenah, WI

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Jessica Mcdonald, DNP, NNP-BC, APNP
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Phone: 920-751-9600    Fax: 920-751-9667
Kelly M Meyer, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 740 Deerwood Ave, Neenah, WI 54956
Phone: 920-751-9600    

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).

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