Ms Sharon Ann Teschke, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Fond Du Lac, Wisconsin. Her current practice location is
196 3rd St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 921-3343.
Ms Sharon Ann Teschke is licensed to practice in Wisconsin (license number 1920-123) 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 1487868139.
Healthcare Provider's Profile
| Full Name | Ms Sharon Ann Teschke |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 196 3rd St, Fond Du Lac, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487868139
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577970813
- Enrollment ID: I20210401002020
Medical Identifiers
Medical identifiers for Ms Sharon Ann Teschke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487868139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 407-124 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1920-123 (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. Ms Sharon Ann Teschke allows following entities to bill medicare on her behalf.
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487424826
PECOS PAC ID: 0941648463
Enrollment ID: O20240429000918 |
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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. Ms Sharon Ann Teschke 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 |
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Ms Sharon Ann Teschke, LCSW, LMFT
1090 S Tamiami Trl,
Sarasota, FL 34236-9116
Ph: (904) 605-4986 | Ms Sharon Ann Teschke, LCSW, LMFT
196 3rd St,
Fond Du Lac, WI 54935-4418
Ph: (920) 921-3343 |
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