Sarah Lyne Godbert Gaethke, MD in Grafton, WI

Sarah Lyne Godbert Gaethke, MD is a medicare enrolled "Pediatrics" physician in Grafton, Wisconsin. Her current practice location is 215 Washington St, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 375-3700.

Sarah Lyne Godbert Gaethke is licensed to practice in Wisconsin (license number 50722-020) 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 1144371261.

Contact Information

	Sarah Lyne Godbert Gaethke, MD
	215 Washington St, Grafton, WI 53024-1700
	(262) 375-3700
	Not Available

Map and Direction

Physician's Profile

Full Name	Sarah Lyne Godbert Gaethke
Gender	Female
Speciality	Pediatrics
Location	215 Washington St, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144371261
Provider Enumeration Date: 01/15/2007
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3072680917
Enrollment ID: I20080918000662

Medical Identifiers

Medical identifiers for Sarah Lyne Godbert Gaethke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144371261	NPI	-	NPPES
35307800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	50722-020 (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. Sarah Lyne Godbert Gaethke allows following entities to bill medicare on her behalf.

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Sarah Lyne Godbert Gaethke 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
Sarah Lyne Godbert Gaethke, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Sarah Lyne Godbert Gaethke, MD 215 Washington St, Grafton, WI 53024-1700 Ph: (262) 375-3700

Reviews and Comments

Pediatrics Doctors in Grafton, WI

Maren Elizabeth Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Thomas B Chatton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Kevin B Scammell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington Street, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Dr. Mario R Powell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024 Phone: 262-329-1000

Sarah Lyne Godbert Gaethke, MD - Medicare Pediatrics in Grafton, WI