Glen J Kemp Jr, MD in Fond Du Lac, WI - Medicare Orthopaedic Surgery

Glen J Kemp Jr, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fond Du Lac, Wisconsin. His current practice location is 421 Camelot Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8616.

Glen J Kemp Jr is licensed to practice in Wisconsin (license number 32999) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205927282.

Contact Information

	Glen J Kemp Jr, MD
	421 Camelot Dr, Fond Du Lac, WI 54935-8335
	(920) 926-8616
	(920) 926-8098

Map and Direction

Physician's Profile

Full Name	Glen J Kemp Jr
Gender	Male
Speciality	Orthopaedic Surgery
Location	421 Camelot Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205927282
Provider Enumeration Date: 09/27/2006
Last Update Date: 10/21/2020

Medicare PECOS Information:

PECOS PAC ID: 0749287423
Enrollment ID: I20100208000663

Medical Identifiers

Medical identifiers for Glen J Kemp Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205927282	NPI	-	NPPES
P00861896	Other	WI	RAILROAD MEDICARE
31820000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	32999 (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. Glen J Kemp Jr allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Glen J Kemp Jr 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
Glen J Kemp Jr, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Glen J Kemp Jr, MD 421 Camelot Dr, Fond Du Lac, WI 54935-8335 Ph: (920) 926-8616

Reviews and Comments

Orthopaedic Surgery Doctors in Fond Du Lac, WI

Alan W Roetker, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Michael R Magoline, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 Fax: 920-926-8098
Benjamin Richard Wiseley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Karl Pennau, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Michael D Mannebach, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Dr. Clark Pomeroy Searle Iii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616

Glen J Kemp Jr, MD - Medicare Orthopaedic Surgery in Fond Du Lac, WI