Dr Gordon Glenn Roedel, MD - Medicare Orthopedic Surgery in Green Bay, WI

Dr Gordon Glenn Roedel, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Green Bay, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopedic And Sports Medicine Specialists Of Green Bay Sc and his current practice location is 2223 Lime Kiln Rd Ste 1, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 430-8113.

Dr Gordon Glenn Roedel is licensed to practice in Wisconsin (license number 82150) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851812937.

Contact Information

Dr Gordon Glenn Roedel, MD
2223 Lime Kiln Rd Ste 1,
Green Bay, WI 54311-6213
(920) 430-8113
(920) 430-8122



Physician's Profile

Full NameDr Gordon Glenn Roedel
GenderMale
SpecialityOrthopedic Surgery
Experience7 Years
Location2223 Lime Kiln Rd Ste 1, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gordon Glenn Roedel attended and graduated from University Of Wisconsin School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1851812937
  • Provider Enumeration Date: 06/29/2017
  • Last Update Date: 08/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204100621
  • Enrollment ID: I20230823000361

Medical Identifiers

Medical identifiers for Dr Gordon Glenn Roedel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851812937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 8109 (Nebraska)Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 82150 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bellin Memorial HospitalGreen bay, WIHospital
St Mary's Hospital Medical CenterGreen bay, WIHospital
St Vincent HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic And Sports Medicine Specialists Of Green Bay Sc973926471437

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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 Gordon Glenn Roedel allows following entities to bill medicare on his behalf.
Entity NameOrthopedic & Sports Medicine Specialists Of Green Bay Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760670145
PECOS PAC ID: 9739264714
Enrollment ID: O20080314000537

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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 Gordon Glenn Roedel 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 Gordon Glenn Roedel, MD
2223 Lime Kiln Rd Ste 1,
Green Bay, WI 54311-6213

Ph: (920) 430-8113
Dr Gordon Glenn Roedel, MD
2223 Lime Kiln Rd Ste 1,
Green Bay, WI 54311-6213

Ph: (920) 430-8113

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Orthopaedic Surgery Doctors in Green Bay, WI

William Victor Albiero, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311
Phone: 920-430-8113    
William J. Enright, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2223 Lime Kiln Rd, Green Bay, WI 54311
Phone: 920-468-0246    Fax: 920-432-9309
Rolf Smart Lulloff, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1715 Dousman St, Green Bay, WI 54303
Phone: 920-496-4700    Fax: 920-496-4747
Mr. Thomas Andrew Sullivan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311
Phone: 920-430-8120    Fax: 920-430-8122
Dr. Michael K Ryan, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 920-496-4700    
Michael Jameson Florack, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1821 S Webster Ave, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-431-1972
Dr. Steven Harold Goldberg, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304
Phone: 920-430-4888    Fax: 920-430-4889

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