Elizabeth Jane Tlachac, - Medicare Nurse Practitioner in Green Bay, WI

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Elizabeth Jane Tlachac, is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. Her current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 490-9046.

Elizabeth Jane Tlachac is licensed to practice in Wisconsin (license number 13119) 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 1891277703.

Contact Information

Elizabeth Jane Tlachac,
2845 Greenbrier Rd,
Green Bay, WI 54311-6519
(920) 490-9046
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Jane Tlachac
GenderFemale
SpecialityNurse Practitioner
Location2845 Greenbrier Rd, 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: 1891277703
  • Provider Enumeration Date: 09/06/2018
  • Last Update Date: 04/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002289261
  • Enrollment ID: I20230309000113

Medical Identifiers

Medical identifiers for Elizabeth Jane Tlachac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891277703NPI-NPPES
100228350MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 13119 (Wisconsin)Primary
163WX0003XRegistered Nurse - Obstetric, Inpatient 223849 (Wisconsin)Secondary

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. Elizabeth Jane Tlachac allows following entities to bill medicare on her behalf.
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579

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. Elizabeth Jane Tlachac 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
Elizabeth Jane Tlachac,
Po Box 28900,
Green Bay, WI 54324-0900

Ph: (920) 490-9046		Elizabeth Jane Tlachac,
2845 Greenbrier Rd,
Green Bay, WI 54311-6519

Ph: (920) 490-9046

Reviews and Comments


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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.