LAWRENCE R BELLMORE III MD
NPI 1295056935
Anesthesiology in Sturgeon Bay, WI
About Lawrence R Bellmore Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE R BELLMORE III MD (NPI 1295056935) is an individual anesthesiology provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (62111) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and maintains a secondary practice location in Fond Du Lac.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lawrence R Bellmore Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lawrence Bellmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 131 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIDoor County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STURGEON BAY, WI 54235
STURGEON BAY, WI 54235
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lawrence Bellmore's NPI number?
The NPI number for Lawrence Bellmore is 1295056935. It was assigned to this individual provider in the NPPES registry on June 17, 2010.
Where is Lawrence Bellmore located?
Lawrence Bellmore practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-5566.
What is Lawrence Bellmore's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Lawrence Bellmore enrolled in Medicare?
Yes. Lawrence Bellmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lawrence Bellmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Bellmore reassigns Medicare benefits to 2 organizations: Door County Memorial Hospital (Sturgeon Bay, WI) and Agnesian Healthcare, Inc (Fond Du Lac, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Bellmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Bellmore accept?
Health plans from CareSource (Common Ground Healthcare) list Lawrence Bellmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lawrence Bellmore affiliated with any hospitals?
According to CMS data, Lawrence Bellmore is affiliated with St. Agnes Hospital Hospice and Door County Medical Center.
When was this NPI record last updated?
The NPPES record for Lawrence Bellmore was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lawrence R Bellmore III, MD · NPI 1295056935
Anesthesiology physician in Sturgeon Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since June 17, 2010.
## Identity
- **NPI:** 1295056935 (Entity type: Individual)
- **Enumerated:** June 17, 2010
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 62111 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 323 S 18TH AVE, Sturgeon Bay, WI 54235-1401
- **Phone:** (920) 743-5566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Door County Memorial Hospital (NPI 1093743874, Sturgeon Bay, WI); Agnesian Healthcare, Inc (NPI 1346228541, Fond Du Lac, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** July 24, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1295056935) · Data from the CMS NPPES public registry.