Carolyn Blanc, MD in Kimberly, WI - Medicare Family Practice

Carolyn Blanc, MD is a medicare enrolled "Family Medicine" physician in Kimberly, Wisconsin. She went to University Of California, San Diego School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Incorporated and her current practice location is 520 W 3rd St, Kimberly, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 788-7680.

Carolyn Blanc is licensed to practice in Wisconsin (license number 40082) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790711620.

Contact Information

	Carolyn Blanc, MD
	520 W 3rd St, Kimberly, WI 54136-1300
	(920) 788-7680
	(920) 788-7688

Map and Direction

Physician's Profile

Full Name	Carolyn Blanc
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	520 W 3rd St, Kimberly, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carolyn Blanc attended and graduated from University Of California, San Diego School Of Medicine in 1997

NPI Data:

NPI Number: 1790711620
Provider Enumeration Date: 06/23/2006
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 0446210108
Enrollment ID: I20041016000162

Medical Identifiers

Medical identifiers for Carolyn Blanc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790711620	NPI	-	NPPES
005945003	Other	WI	MEDICARE PTAN
3256100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40082 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Incorporated	1759294887	533

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. Carolyn Blanc allows following entities to bill medicare on her behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Carolyn Blanc 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
Carolyn Blanc, MD 520 W 3rd St, Kimberly, WI 54136-1300 Ph: (920) 788-7680	Carolyn Blanc, MD 520 W 3rd St, Kimberly, WI 54136-1300 Ph: (920) 788-7680

Reviews and Comments

Family Medicine Doctors in Kimberly, WI

Montgomery Elmer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688
Sarah K Marcoe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680
Ms. Katherine Nonweiler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680
Dr. Rebecca Kristeen Doro, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688
Joyce Bauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 W 3rd St, Kimberly, WI 54136 Phone: 920-788-7680 Fax: 920-788-7688

Carolyn Blanc, MD - Medicare Family Practice in Kimberly, WI