Lily Manon, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Weston, Wisconsin. Her current practice location is
3400 Ministry Pkwy, Weston, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 393-1000.
Lily Manon is licensed to practice in Wisconsin (license number 82100-20) 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 1154854610.
Physician's Profile
Full Name | Lily Manon |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 3400 Ministry Pkwy, Weston, 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: 1154854610
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426320227
- Enrollment ID: I20220809001310
Medical Identifiers
Medical identifiers for Lily Manon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154854610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 036-157156 (Illinois) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 82100-20 (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. Lily Manon allows following entities to bill medicare on her behalf.
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
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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. Lily Manon 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 |
Lily Manon, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Lily Manon, MD 3400 Ministry Pkwy, Weston, WI 54476-5220 Ph: (715) 393-1000 |
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