Wendy M Backaus, RDN in Black River Falls, WI - Medicare Dietitian, Registered Provider

Wendy M Backaus, RDN is a medicare enrolled "Dietitian, Registered" provider in Black River Falls, Wisconsin. Her current practice location is 711 W Adams St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 284-5361.

Wendy M Backaus is licensed to practice in Wisconsin (license number 3663-29) 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 1962001909.

Contact Information

	Wendy M Backaus, RDN
	711 W Adams St, Black River Falls, WI 54615-5052
	(715) 284-5361
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendy M Backaus
Gender	Female
Speciality	Dietitian, Registered
Location	711 W Adams St, Black River Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962001909
Provider Enumeration Date: 10/21/2020
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6204239734
Enrollment ID: I20210721003372

Medical Identifiers

Medical identifiers for Wendy M Backaus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962001909	NPI	-	NPPES
86118957	Other	WI	CDR CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3663-29 (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. Wendy M Backaus allows following entities to bill medicare on her behalf.

Provider Name	Black River Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517

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. Wendy M Backaus 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
Wendy M Backaus, RDN 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361	Wendy M Backaus, RDN 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361

Reviews and Comments

Dietitian, Registered in Black River Falls, WI

Heather Jerzak, RD, CD Dietitian Medicare: Medicare Enrolled Practice Location: N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 Phone: 888-685-4422
Jessica Elizabeth Jennings, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 888-685-4422 Fax: 715-284-5107
Mrs. Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS Dietitian Medicare: Medicare Enrolled Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150
Miss Jamie Ann Sebion, R.D., C.D., C.L.C. Dietitian Medicare: Not Enrolled in Medicare Practice Location: N6520 Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851

Wendy M Backaus, RDN - Medicare Dietitian in Black River Falls, WI