Nicole Maki-rydland, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Wauwatosa, Wisconsin. Her current practice location is
2600 N Mayfair Rd Ste 305, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 257-0233.
Nicole Maki-rydland is licensed to practice in Wisconsin (license number 10562-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386065589.
Healthcare Provider's Profile
Full Name | Nicole Maki-rydland |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2600 N Mayfair Rd Ste 305, Wauwatosa, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386065589
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507274545
- Enrollment ID: I20210413000529
Medical Identifiers
Medical identifiers for Nicole Maki-rydland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386065589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1862-226 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10562-33 (Wisconsin) | Primary |
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. Nicole Maki-rydland allows following entities to bill medicare on her behalf.
Entity Name | Associated Mental Health Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063437986 PECOS PAC ID: 5597665026 Enrollment ID: O20040112000103 |
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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. Nicole Maki-rydland 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 |
Nicole Maki-rydland, 2600 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-1303 Ph: (414) 257-0233 | Nicole Maki-rydland, 2600 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-1303 Ph: (414) 257-0233 |
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