Dr Lawrence E Colassacco, MD in Depere, WI

Dr Lawrence E Colassacco, MD is a medicare enrolled "Family Medicine" physician in Depere, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 1881 Chicago St, Depere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 403-8000.

Dr Lawrence E Colassacco is licensed to practice in Wisconsin (license number 46043) 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 1366451429.

Contact Information

	Dr Lawrence E Colassacco, MD
	1881 Chicago St, Depere, WI 54115
	(920) 403-8000
	(920) 403-8202

Map and Direction

Physician's Profile

Full Name	Dr Lawrence E Colassacco
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	1881 Chicago St, Depere, Wisconsin
Accepts Medicare Assignments	Yes. 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 Lawrence E Colassacco attended and graduated from Medical College Of Wisconsin in 2001

NPI Data:

NPI Number: 1366451429
Provider Enumeration Date: 08/07/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6204816523
Enrollment ID: I20040726000550

Medical Identifiers

Medical identifiers for Dr Lawrence E Colassacco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366451429	NPI	-	NPPES
34504400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	46043 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Green bay, WI	Home health agency
Unity Hospice	De pere, WI	Hospice
Aurora Baycare Medical Ctr	Green bay, WI	Hospital
Bellin Memorial Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3716

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 Lawrence E Colassacco allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Lawrence E Colassacco 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
Dr Lawrence E Colassacco, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326	Dr Lawrence E Colassacco, MD 1881 Chicago St, Depere, WI 54115 Ph: (920) 403-8000

Reviews and Comments

Family Medicine Doctors in Depere, WI

Dr. John D Gray, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8202
Dr. Ronald A Barnes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, Depere, WI 54115 Phone: 920-403-8000 Fax: 920-403-8201

Dr Lawrence E Colassacco, MD - Medicare Family Practice in Depere, WI