Melissa Lynn Boldt, FNP-C - Medicare Emergency Medicine in Green Bay, WI

Melissa Lynn Boldt, FNP-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Green Bay, Wisconsin. Her current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-3500.

Melissa Lynn Boldt is licensed to practice in Wisconsin (license number 15573-33) 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 1558108688.

Contact Information

Melissa Lynn Boldt, FNP-C
744 S Webster Ave,
Green Bay, WI 54301-3505
(920) 433-3500
Not Available

Map and Direction




Physician's Profile

Full NameMelissa Lynn Boldt
GenderFemale
SpecialityEmergency Medicine - Emergency Medical Services
Location744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558108688
  • Provider Enumeration Date: 07/15/2024
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193256857
  • Enrollment ID: I20241004001759

Medical Identifiers

Medical identifiers for Melissa Lynn Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558108688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 15573-33 (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. Melissa Lynn Boldt allows following entities to bill medicare on her behalf.
Entity NameGreen Bay Emergency Medicine Services Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424111
PECOS PAC ID: 9335170083
Enrollment ID: O20050823000663

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. Melissa Lynn Boldt 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
Melissa Lynn Boldt, FNP-C
226 Shady Lawn Cir,
Sobieski, WI 54171-4403

Ph: (920) 819-7775
Melissa Lynn Boldt, FNP-C
744 S Webster Ave,
Green Bay, WI 54301-3505

Ph: (920) 433-3500

Reviews and Comments


Emergency Medicine Doctors in Green Bay, WI

Katie Lynn Lloyd, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Darren M Heesacker, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Edward C Vogel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Dr. David Franklin Edwards, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3263 Eaton Rd, Green Bay, WI 54311
Phone: 920-433-6000    Fax: 920-433-6009
Dr. David Alan Sorrentino, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Dr. Ryan Thomas Murphy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Dr. Jill P Harman, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-3500    Fax: 920-433-7932

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.