ANTHONY JOSEPH MARCHLEWSKI MD
NPI 1295710432
Psychiatry & Neurology - Psychiatry in Green Bay, WI
NPI Status: Active since December 09, 2005
Contact Information
301 E SAINT JOSEPH ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-6073
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About ANTHONY MARCHLEWSKI
This page provides the complete NPI Profile along with additional information for Anthony Marchlewski, a provider established in Green Bay, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1295710432 assigned on December 2005. The practitioner's primary taxonomy code is 2084P0800X with license number 37626 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1295710432
- Provider Name
- ANTHONY JOSEPH MARCHLEWSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 301 E SAINT JOSEPH ST GREEN BAY, WI 54301
- Location Phone
- (920) 433-6073
- Mailing Address
- PO BOX 22487 GREEN BAY, WI 54305
- Mailing Phone
- (920) 445-7210
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-09-2005
- Last Update Date
- 02-10-2021
- Code Navigator
A psychiatrist like Anthony Marchlewski are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 37626
- License State
- WI
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Robin Select $2,800 Plus Silver - PPO
- Robin Select $3,500 HSA Silver - PPO
- Robin Select $5,000 Standard Silver - PPO
- Robin Select $6,500 Plus Bronze - PPO
- Robin Select $7,500 Standard Bronze - PPO
- Robin Select $8,200 HSA Bronze - PPO
- Robin Select $9,200 Catastrophic - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Standard - EPO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Anthony Marchlewski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Telephone medical discussion with physician, 21-30 minutes
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 15 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $163.24
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $40.81
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for ANTHONY JOSEPH MARCHLEWSKI MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 7 | 1 | 0 | 4 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 1 | 0 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 1 + 0 + 4 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1295710432 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528043858 | DENISE M BALZOLA MSW Individual | Counselor (Mental Health) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1568447811 | JOLAYNE M BOEHMKE LPC Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3673 |
| 1467437723 | MARY L HILL LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1881679124 | BLISS A BAUDHUIN LPC Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1306821673 | LESLIE A KOCHA APSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1235114513 | KIM L LASECKI PHD Individual | Psychologist (Clinical Child & Adolescent) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1831174119 | MARGARET ROSE LEGLER LCSW Individual | Social Worker (Clinical) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1962487116 | ERIC L LAVARDA LPC Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1982689188 | DONNA L RASMUSSEN LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1053396796 | JONI CONSTANCE DELWICHE LCSW Individual | Social Worker (Clinical) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1588649222 | LYNETTE MARIE HARRIS LCSW Individual | Social Worker | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-6073 |
| 1659358620 | DR. CARLOS S CASTILLO MD Individual | Psychiatry & Neurology (Psychiatry) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1801824305 | BELLIN PSYCHIATRIC CENTER INC Organization | Psychiatric Hospital | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1205044112 | MARY L GIBSON MS Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 430-3630 |
| 1114135167 | MARY M MCKAY CADC LLL Individual | Counselor (Addiction (Substance Use Disorder)) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1457677338 | BELLIN PSYCHIATRIC CENTER Organization | Clinic/Center | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1174839336 | PATRICIA L VANDERMAUSE LPC ,CSAC Individual | Counselor (Professional) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1679879167 | MS. ABBIE HONZIK RNC MSE Individual | Counselor (Mental Health) | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 431-5533 |
| 1033497755 | PATSY L WHITE MSW Individual | Counselor | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-3630 |
| 1780648022 | RICHARD F. RIDER PSY.D. Individual | Psychologist | 301 E SAINT JOSEPH ST GREEN BAY, WI 54301 (920) 433-7992 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295710432, enumerated in the NPI registry as an "individual" on December 09, 2005
The provider is located at 301 E Saint Joseph St Green Bay, Wi 54301 and the phone number is (920) 433-6073
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $163.24 with an average copayment of $40.81 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Telephone medical discussion with physician, 21-30 minutes.
This NPI record was last updated on December 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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