Dr Melissa Faubert, DO - Medicare Family Practice in Lodi, WI

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Dr Melissa Faubert, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Lodi, Wisconsin. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sauk Prairie Healthcare Inc and her current practice location is 160 Valley Dr, Lodi, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 592-3296.

Dr Melissa Faubert is licensed to practice in Wisconsin (license number 69524-21) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194137026.

Contact Information

Dr Melissa Faubert, DO
160 Valley Dr,
Lodi, WI 53555-1464
(608) 592-3296
Not Available

Map and Direction




Physician's Profile

Full NameDr Melissa Faubert
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location160 Valley Dr, Lodi, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Melissa Faubert attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2014
  NPI Data:
  • NPI Number: 1194137026
  • Provider Enumeration Date: 05/27/2014
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315242898
  • Enrollment ID: I20180907000587

Medical Identifiers

Medical identifiers for Dr Melissa Faubert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194137026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036.143132 (Illinois)Secondary
207QS0010XFamily Medicine - Sports Medicine 69524-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sauk Prairie HospitalPrairie du sac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sauk Prairie Healthcare Inc822494805481

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. Dr Melissa Faubert allows following entities to bill medicare on her behalf.
Entity NameSauk Prairie Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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. Dr Melissa Faubert 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
Dr Melissa Faubert, DO
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 745-4598		Dr Melissa Faubert, DO
160 Valley Dr,
Lodi, WI 53555-1464

Ph: (608) 592-3296

Reviews and Comments


Family Medicine Doctors in Lodi, WI

Rian J Podein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 160 Valley Drive, Lodi, WI 53555
Phone: 608-592-3296    
Dale P Fanney, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 160 Valley Dr, Lodi, WI 53555
Phone: 608-592-3296    
Dr. David P Krey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 160 Valley Dr, Lodi, WI 53555
Phone: 608-592-3296    
Thomas P Sullivan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 160 Valley Dr, Lodi, WI 53555
Phone: 608-592-3296    

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.