Mary A Connelly, MD in Green Bay, WI - Medicare Family Medicine

Mary A Connelly, MD is a medicare enrolled "Family Medicine" physician in Green Bay, Wisconsin. Her current practice location is 1580 Commanche Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 445-7295.

Mary A Connelly is licensed to practice in Wisconsin (license number 33056) 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 1841274636.

Contact Information

	Mary A Connelly, MD
	1580 Commanche Ave, Green Bay, WI 54313-5751
	(920) 445-7295
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary A Connelly
Gender	Female
Speciality	Family Medicine
Location	1580 Commanche Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841274636
Provider Enumeration Date: 12/05/2005
Last Update Date: 02/27/2014

Medicare PECOS Information:

PECOS PAC ID: 1456483353
Enrollment ID: I20100712000579

Medical Identifiers

Medical identifiers for Mary A Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841274636	NPI	-	NPPES
33056	Other	WI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	33056 (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. Mary A Connelly allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Mary A Connelly 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
Mary A Connelly, MD 1580 Commanche Ave, Green Bay, WI 54313-5751 Ph: (920) 445-7295	Mary A Connelly, MD 1580 Commanche Ave, Green Bay, WI 54313-5751 Ph: (920) 445-7295

Reviews and Comments

Family Medicine Doctors in Green Bay, WI

Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792
Megan Leigh Grimm, DNP FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-884-3135
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700

Mary A Connelly, MD - Medicare Family Medicine in Green Bay, WI