Lance A Grammont, DO - Medicare Family Practice in Appleton, WI

Lance A Grammont, DO is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare Incorporated and his current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 830-6877.

Lance A Grammont is licensed to practice in Wisconsin (license number 49656) 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 1063459790.

Contact Information

Lance A Grammont, DO
3925 N Gateway Dr,
Appleton, WI 54913-7863
(920) 830-6877
(920) 454-7013



Physician's Profile

Full NameLance A Grammont
GenderMale
SpecialityFamily Practice
Experience19 Years
Location3925 N Gateway Dr, Appleton, 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:
  • Lance A Grammont graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1063459790
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 12/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305912429
  • Enrollment ID: I20080913000046

Medical Identifiers

Medical identifiers for Lance A Grammont such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063459790NPI-NPPES
37582500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 49656 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887493

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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. Lance A Grammont allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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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. Lance A Grammont 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
Lance A Grammont, DO
3925 N Gateway Dr,
Appleton, WI 54913-7863

Ph: (920) 830-6877
Lance A Grammont, DO
3925 N Gateway Dr,
Appleton, WI 54913-7863

Ph: (920) 830-6877

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Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Stephen C Fuller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Samuel James Heiks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    Fax: 920-996-1054
Brittany E Goodrich-braun,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Dirk Jon Derksen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913
Phone: 920-731-6374    
Ms. Cynthia Frances Susedik, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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