Stephanie Kelly Drew, CRNP in West Bend, WI - Medicare Nurse Practitioner

Stephanie Kelly Drew, CRNP is a medicare enrolled "Nurse Practitioner - Family" in West Bend, Wisconsin. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wisconsin Spine And Pain Sc and her current practice location is 1000 Gateway Ct Ste 100, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 204-6758.

Stephanie Kelly Drew is licensed to practice in Wisconsin (license number 12021-33) 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 1235408691.

Contact Information

	Stephanie Kelly Drew, CRNP
	1000 Gateway Ct Ste 100, West Bend, WI 53095-8541
	(920) 204-6758
	(888) 720-0495

Map and Direction

Provider's Profile

Full Name	Stephanie Kelly Drew
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	1000 Gateway Ct Ste 100, West Bend, 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:

Stephanie Kelly Drew attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2001

NPI Data:

NPI Number: 1235408691
Provider Enumeration Date: 12/14/2011
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9133358625
Enrollment ID: I20220731000131

Medical Identifiers

Medical identifiers for Stephanie Kelly Drew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235408691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN585810 (Pennsylvania)	Secondary
163W00000X	Registered Nurse	R212599-6 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	SP011850 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	R212599-6 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	12021-33 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wisconsin Spine And Pain Sc	0345665469	14

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. Stephanie Kelly Drew allows following entities to bill medicare on her behalf.

Entity Name	Wisconsin Spine And Pain Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790309276 PECOS PAC ID: 0345665469 Enrollment ID: O20200806002745

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. Stephanie Kelly Drew 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
Stephanie Kelly Drew, CRNP 7235 Ohms Ln, Edina, MN 55439-2148 Ph: (952) 841-2345	Stephanie Kelly Drew, CRNP 1000 Gateway Ct Ste 100, West Bend, WI 53095-8541 Ph: (920) 204-6758

Reviews and Comments

Nurse Practitioner Nurses in West Bend, WI

Alyssa Sekadlo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767
Katelyn Steger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Jennifer Nicole Thomson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Dr. Shanice S Kukuck, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Casey L Nolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Stacy L Boden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964
Mrs. Marlene Marsha Hetzel, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340 Fax: 414-671-0161

Stephanie Kelly Drew, CRNP - Medicare Nurse Practitioner in West Bend, WI