Kathryn M Lilly, DO - Medicare Pediatrics in Sheboygan, WI

Kathryn M Lilly, DO is a medicare enrolled "Pediatrics" physician in Sheboygan, Wisconsin. Her current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 457-4461.

Kathryn M Lilly is licensed to practice in Wisconsin (license number 69458) 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 1861873408.

Contact Information

Kathryn M Lilly, DO
2414 Kohler Memorial Dr,
Sheboygan, WI 53081
(920) 457-4461
Not Available



Physician's Profile

Full NameKathryn M Lilly
GenderFemale
SpecialityPediatrics
Location2414 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861873408
  • Provider Enumeration Date: 06/09/2015
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668787714
  • Enrollment ID: I20180904000008

Medical Identifiers

Medical identifiers for Kathryn M Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861873408NPI-NPPES
100079601MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 69458 (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. Kathryn M Lilly allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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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. Kathryn M Lilly 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
Kathryn M Lilly, DO
2414 Kohler Memorial Dr,
Sheboygan, WI 53081-3129

Ph: (920) 457-4461
Kathryn M Lilly, DO
2414 Kohler Memorial Dr,
Sheboygan, WI 53081

Ph: (920) 457-4461

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Pediatrics Doctors in Sheboygan, WI

Amy J. Harms, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-459-3331    Fax: 920-458-1387
Dr. Walter T Howard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1483
Dr. Frank M Baur, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1170
Emmanuel Olawusi, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Dr. William L Trager, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Superior Avenue, Sheboygan, WI 53081
Phone: 920-458-3331    Fax: 920-458-1387
Dr. Jeffrey W Britton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1170
Dr. Jenny K Brault, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-458-3331    Fax: 920-458-1387

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