Lucas James Tlachac, NP - Medicare Nurse Practitioner in Green Bay, WI

  1. Home
  2. Nurse Practitioner
  3. WI
  4. Green Bay
Lucas James Tlachac, NP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. His current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8350.

Lucas James Tlachac is licensed to practice in Wisconsin (license number 12158-33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245979640.

Contact Information

Lucas James Tlachac, NP
2845 Greenbrier Rd,
Green Bay, WI 54311-6519
(920) 288-8350
Not Available

Map and Direction




Provider's Profile

Full NameLucas James Tlachac
GenderMale
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: 1245979640
  • Provider Enumeration Date: 06/02/2022
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557730496
  • Enrollment ID: I20221215000450

Medical Identifiers

Medical identifiers for Lucas James Tlachac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245979640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 12158-33 (Wisconsin)Primary
163W00000XRegistered Nurse 236493-30 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 12158-33 (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. Lucas James Tlachac allows following entities to bill medicare on his behalf.
Entity NameBaycare Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087

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. Lucas James 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
Lucas James Tlachac, NP
1035 Kepler Dr,
Green Bay, WI 54311-8320

Ph: (920) 490-9046		Lucas James Tlachac, NP
2845 Greenbrier Rd,
Green Bay, WI 54311-6519

Ph: (920) 288-8350

Reviews and Comments


Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311
Phone: 920-445-7377    Fax: 920-592-9479
Tammy Ann Motquin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-445-7226    
Mary C Fox, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3237 Voyager Dr, Green Bay, WI 54311
Phone: 920-468-8288    
Mrs. Kristen Kay Lampe, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301
Phone: 920-433-7488    
Nicole L Lowe, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2253 W Mason St, Green Bay, WI 54303
Phone: 920-327-7300    Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 923 Eliza St, Green Bay, WI 54301
Phone: 920-965-4800    
Corinne Elizabeth George, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-3500    Fax: 920-445-7301

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.