Karen M Lane, DO - Medicare Pediatrics in Green Bay, WI

Karen M Lane, DO is a medicare enrolled "Pediatrics" physician in Green Bay, Wisconsin. Her current practice location is 1630 Commanche Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 430-4585.

Karen M Lane is licensed to practice in Wisconsin (license number 41238) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427032127.

Contact Information

Karen M Lane, DO
1630 Commanche Ave,
Green Bay, WI 54313-6089
(920) 430-4585
Not Available

Map and Direction




Physician's Profile

Full NameKaren M Lane
GenderFemale
SpecialityPediatrics
Location1630 Commanche Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427032127
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870585581
  • Enrollment ID: I20040401001165

Medical Identifiers

Medical identifiers for Karen M Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427032127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 41238 (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. Karen M Lane allows following entities to bill medicare on her behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameOneida Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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. Karen M Lane 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
Karen M Lane, DO
1630 Commanche Ave,
Green Bay, WI 54313-6089

Ph: (920) 430-4585
Karen M Lane, DO
1630 Commanche Ave,
Green Bay, WI 54313-6089

Ph: (920) 430-4585

Reviews and Comments


Pediatrics Doctors in Green Bay, WI

Mary Lynn Bartel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 835 S Van Buren St, Room 1041, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-496-4705
Kathleen Marie Barkow, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1821 S Webster Ave, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-436-1319
Kristina Ann Houn, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2793 Lineville Rd, Green Bay, WI 54313
Phone: 920-496-4700    
George E Whetmore, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1821 S Webster Ave, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-436-1319
Ralph Joseph Vardis, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-433-8569
Dr. Robert Michael Rock Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 835 S. Vanburen St., Green Bay, WI 54301
Phone: 920-433-8360    Fax: 920-431-3163
James F Winston, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-433-8360    

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.