Amber Lievens Widenski, DO - Medicare Emergency Medicine in New London, WI

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Amber Lievens Widenski, DO is a medicare enrolled "Emergency Medicine" physician in New London, Wisconsin. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Thedacare Regional Medical Center - Appleton, Inc and her current practice location is 1405 Mill St, New London, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 531-2030.

Amber Lievens Widenski is licensed to practice in Wisconsin (license number 63792-21) 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 1417255902.

Contact Information

Amber Lievens Widenski, DO
1405 Mill St,
New London, WI 54961-2155
(920) 531-2030
Not Available

Map and Direction




Physician's Profile

Full NameAmber Lievens Widenski
GenderFemale
SpecialityEmergency Medicine
Experience15 Years
Location1405 Mill St, New London, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amber Lievens Widenski graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1417255902
  • Provider Enumeration Date: 03/07/2011
  • Last Update Date: 12/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951535558
  • Enrollment ID: I20150610002099

Medical Identifiers

Medical identifiers for Amber Lievens Widenski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417255902NPI-NPPES
1417255902MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 63792-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Berlin Memorial HospitalBerlin, WIHospital
Thedacare Medical Center - New LondonNew london, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Regional Medical Center - Appleton, Inc21633190396

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. Amber Lievens Widenski allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameThedacare Medical Center - Berlin, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameThedacare Medical Center - Wild Rose, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043263999
PECOS PAC ID: 6507840923
Enrollment ID: O20040615000235
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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. Amber Lievens Widenski 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 AddressPractice Location Address
Amber Lievens Widenski, DO
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 531-2030		Amber Lievens Widenski, DO
1405 Mill St,
New London, WI 54961-2155

Ph: (920) 531-2030

Reviews and Comments


Emergency Medicine Doctors in New London, WI

Shawn S Williamson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2021    
Jocko R Zifferblatt, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2000    
Dr. John A Watring, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2000    
Carolyn A Hellman, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2000    Fax: 920-531-2098
Jacob Kream,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2021    
Dr. Robert A Prahl, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2030    Fax: 920-531-2016

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.