Vickiemarie Cloutier, MD in Shawano, WI - Medicare Family Practice

Vickiemarie Cloutier, MD is a medicare enrolled "Family Medicine" physician in Shawano, Wisconsin. She graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Health System Corporation and her current practice location is 1300 E Green Bay St, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 201-0870.

Vickiemarie Cloutier is licensed to practice in Wisconsin (license number 44889-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568467850.

Contact Information

	Vickiemarie Cloutier, MD
	1300 E Green Bay St, Shawano, WI 54166-2210
	(715) 201-0870
	Not Available

Map and Direction

Physician's Profile

Full Name	Vickiemarie Cloutier
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	1300 E Green Bay St, Shawano, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Vickiemarie Cloutier graduated from medical school in 2001

NPI Data:

NPI Number: 1568467850
Provider Enumeration Date: 06/15/2005
Last Update Date: 07/08/2026

Medicare PECOS Information:

PECOS PAC ID: 5395710065
Enrollment ID: I20090723000632

Medical Identifiers

Medical identifiers for Vickiemarie Cloutier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568467850	NPI	-	NPPES
450030594	Other	WI	MEDICARE PTAN
34558300	Other		EDS
34558300	Medicaid	WI
700C610000	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44889-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health System Corp	Janesville, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health System Corporation	7416860440	757

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. Vickiemarie Cloutier allows following entities to bill medicare on her behalf.

Entity Name	Marshfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

Entity Name	Beaver Dam Community Hospitals Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666

Entity Name	Mchs Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Vickiemarie Cloutier 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
Vickiemarie Cloutier, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Vickiemarie Cloutier, MD 1300 E Green Bay St, Shawano, WI 54166-2210 Ph: (715) 201-0870

Reviews and Comments

Family Medicine Doctors in Shawano, WI

Dr. Mindy Maria Frimodig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Tod C Lewis, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-6244
Alisha Frances Fahley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Cornelius W Hyzer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-526-3461

Vickiemarie Cloutier, MD - Medicare Family Practice in Shawano, WI