Dr Codie Jordan Vassar, MD - Medicare Psychiatry in Kenosha, WI

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Dr Codie Jordan Vassar, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kenosha, Wisconsin. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Aspirus Stevens Point Hospital And Clinics, Inc., Mava Healthcare Systems Pllc, St Lukes Warren Physician Group Pc, Mava Healthcare System Llc, St Lukes Physician Group Inc, Neurodivergent Empowerment Institute Inc, Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc., West Virginia University Medical Corporation and his current practice location is 4006 Washington Rd, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 656-0044.

Dr Codie Jordan Vassar is licensed to practice in Wisconsin (license number 6978320) 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 1538690995.

Contact Information

Dr Codie Jordan Vassar, MD
4006 Washington Rd,
Kenosha, WI 53144-4819
(262) 656-0044
(262) 885-6340

Map and Direction




Physician's Profile

Full NameDr Codie Jordan Vassar
GenderMale
SpecialityPsychiatry
Experience4 Years
Location4006 Washington Rd, Kenosha, 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 Codie Jordan Vassar graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1538690995
  • Provider Enumeration Date: 03/27/2017
  • Last Update Date: 07/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5496009565
  • Enrollment ID: I20181109000024

Medical Identifiers

Medical identifiers for Dr Codie Jordan Vassar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538690995NPI-NPPES
100005776MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 01088491A (Indiana)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry T8967 (Texas)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 036159195 (Illinois)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 327809-01 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 6978320 (Wisconsin)Primary
2084P0800XPsychiatry & Neurology - Psychiatry ME165983 (Florida)Secondary
208D00000XGeneral Practice 6978320 (Wisconsin)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 2023032985 (Missouri)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry A182671 (California)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry T8967 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aspirus Stevens Point HospitalStevens point, WIHospital
Aspirus Wisconsin Rapids HospitalWisconsin rapids, WIHospital
Aspirus Rhinelander HospitalRhinelander, WIHospital
Penn State Health Holy Spirit Medical CenterCamp hill, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aspirus Stevens Point Hospital And Clinics, Inc.1850358938136
Mava Healthcare Systems Pllc89214572925
St Lukes Warren Physician Group Pc9739093675374
Mava Healthcare System Llc943658615314
St Lukes Physician Group Inc67097983332161
Neurodivergent Empowerment Institute Inc02447551484
Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.9335059856566
West Virginia University Medical Corporation10522245651974

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 Codie Jordan Vassar allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameKenosha Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265435960
PECOS PAC ID: 0941195168
Enrollment ID: O20040217000840
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameOSF Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20230522000597
Entity NameNuestra Esperanza Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073487641
PECOS PAC ID: 3173015351
Enrollment ID: O20251125001633
Entity NameElevora Eunoia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932036050
PECOS PAC ID: 9335611235
Enrollment ID: O20260611001904

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 Codie Jordan Vassar 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 Codie Jordan Vassar, MD
4006 Washington Rd,
Kenosha, WI 53144-4819

Ph: (262) 656-4400		Dr Codie Jordan Vassar, MD
4006 Washington Rd,
Kenosha, WI 53144-4819

Ph: (262) 656-0044

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.