Kelly Coker, DO in Portage, WI - Medicare Family Medicine

Kelly Coker, DO is a medicare enrolled "Family Medicine" physician in Portage, Wisconsin. Her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 745-5042.

Kelly Coker is licensed to practice in Wisconsin (license number 81246-21) 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 1063037000.

Contact Information

	Kelly Coker, DO
	2817 New Pinery Rd, Portage, WI 53901-9240
	(608) 745-5042
	Not Available

Physician's Profile

Full Name	Kelly Coker
Gender	Female
Speciality	Family Medicine
Location	2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063037000
Provider Enumeration Date: 06/16/2020
Last Update Date: 03/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7618338096
Enrollment ID: I20230801003990

Medical Identifiers

Medical identifiers for Kelly Coker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063037000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	81246-21 (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. Kelly Coker allows following entities to bill medicare on her behalf.

Entity Name	Aspirus Wausau Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297

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Entity Name	Divine Savior Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909

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Entity Name	Aspirus Riverview Hospital & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945

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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. Kelly Coker 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 Address	Practice Location Address
Kelly Coker, DO 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 745-4589	Kelly Coker, DO 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 745-5042

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Family Medicine Doctors in Portage, WI

Richard J Qualy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399
Gerald L Krumpos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060
Dr. Jamie John Kling, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399
Dr. Sarah M Haroldson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990
Dr. Vasilisa Mironovich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-6393
David D Gregory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-724-7161 Fax: 608-745-3060

Kelly Coker, DO - Medicare Family Medicine in Portage, WI

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Family Medicine Doctors in Portage, WI