LAKELAND CARE INC (NPI# 1366563314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366563314 |
| Entity Type | Organization |
| Organization Name | LAKELAND CARE INC |
| Other Organization Name | CREATIVE CARE OPTIONS FDL COUNTY |
| Practice Address |
N6654 Rolling Meadows Dr Fond Du Lac WI 54937-9471 |
| Practice Telephone | 9209065100 |
| Mailing Telephone | 9209065100 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | KIM M MICKLE (COMPLIANCE MANAGER) |
| Authorized Official Telephone | 9209065100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 69005530 | 05 | |
| WI | 69205530 | 05 | |
| WI | 69005500 | 05 | |
| WI | 69105530 | 05 |
| Other Name | Type Code |
|---|---|
| Creative Care Options FDL County | Former Legal Business Name - Organization |
| Street Address |
N6654 ROLLING MEADOWS DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937-9471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689919615 | Patrick Louis Sorensen | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-12-03 |
| 1811240385 | Bobbi Jome | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-10-22 |
| 1548511579 | Tracy Harrison | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-10-01 |
| 1457602484 | Sandra Lynn Kolbe | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-10-01 |
| 1235480633 | Carrie Windorff | Case Manager/Care Coordinator | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-09-25 |
| 1366705055 | Tammy Brant | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-06-19 |
| 1487916664 | Becky L Williams | Case Manager/Care Coordinator | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-06-13 |
| 1477815652 | Brooke N Brock | Case Manager/Care Coordinator | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-06-13 |
| 1386906568 | Anne Hoffman | Case Manager/Care Coordinator | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-06-13 |
| 1982964169 | Erika Lynn Saxe | Registered Nurse | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1598112963 | Jennifer M Halbach | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-05-16 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| Find all providers in zip 54937 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697992 | Divinity Birth Services, LLC | Exclusive Provider Organization | 3074 Oak St, Cottage Grove, WI 53527-9511 | 2014-12-03 |
| 1922400563 | Amanda Deremo | Exclusive Provider Organization | 82 Falling Creek Cir, Janesville, WI 53548-9106 | 2014-09-25 |
| 1477964211 | Interim Health Care | Exclusive Provider Organization | 106 E Franklin Ave, Barron, WI 54812-1145 | 2014-05-14 |
| 1508292574 | Midwifery Services, LLC | Exclusive Provider Organization | 619 9th Ave W, Ashland, WI 54806-2808 | 2013-09-22 |
| 1497034078 | Allied Family Eye Care | Exclusive Provider Organization | 1643 Arcadian Ave, Waukesha, WI 53186-5391 | 2011-08-12 |
| 1407002546 | Community Care of Central Wisconsin | Exclusive Provider Organization | 3349 Church St Ste 1, Stevens Point, WI 54481-5314 | 2008-08-08 |
| 1427216993 | Ministry Health Care | Exclusive Provider Organization | 323 South 18th Ave, 323 South 18th Ave, Sturgeon Bay, WI 54235-1495 | 2008-05-30 |
| 1306029152 | Compassion Care for The Elderly | Exclusive Provider Organization | 4621 N 66th St, Milwaukee, WI 53218-4821 | 2007-12-14 |
| 1598715369 | Lou Ann Newby | Exclusive Provider Organization | W10020 Olson Rd, Poynette, WI 53955-9441 | 2006-05-11 |
| 1497102230 | Globemed, LLC. | Exclusive Provider Organization | 19435 W Capitol Dr, Suite 103, Brookfield, WI 53045-2737 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
Please comment or provide details below to improve the information on LAKELAND CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.