Megan M Butler, MD - Medicare Family Medicine in Plymouth, WI

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Megan M Butler, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Wisconsin. Her current practice location is 825 Walton Dr, Plymouth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Megan M Butler is licensed to practice in Wisconsin (license number 81121-20) 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 1437736642.

Contact Information

Megan M Butler, MD
825 Walton Dr,
Plymouth, WI 53073-5022
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameMegan M Butler
GenderFemale
SpecialityFamily Medicine
Location825 Walton Dr, Plymouth, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437736642
  • Provider Enumeration Date: 03/24/2021
  • Last Update Date: 12/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466821137
  • Enrollment ID: I20240924000151

Medical Identifiers

Medical identifiers for Megan M Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437736642NPI-NPPES
100219836MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 81121-20 (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. Megan M Butler allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Megan M Butler 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
Megan M Butler, MD
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700		Megan M Butler, MD
825 Walton Dr,
Plymouth, WI 53073-5022

Ph: (920) 496-4700

Reviews and Comments


Family Medicine Doctors in Plymouth, WI

Dr. Jennifer Ann-gabrys Rench, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 Walton Dr, Plymouth, WI 53073
Phone: 920-893-4322    Fax: 920-893-9506
Mr. Michael Roy Lunde, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2636 Eastern Ave, Plymouth, WI 53073
Phone: 920-893-4010    
Dr. Dean M Olson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 901 Reed St, Plymouth, WI 53073
Phone: 920-893-1771    
George S Schroeder, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Eastern Ave, Plymouth, WI 53073
Phone: 920-893-0526    Fax: 920-893-9409
Dr. Matthew Edwin Leafblad, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    
Dr. Scott R Peschke, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Kiley Way, Plymouth, WI 53073
Phone: 920-449-7000    

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.