Luella M Guzman, MD in Fort Atkinson, WI

Luella M Guzman, MD is a medicare enrolled "Pediatrics" physician in Fort Atkinson, Wisconsin. Her current practice location is 500 Mcmillen St, Fort Atkinson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 563-5571.

Luella M Guzman is licensed to practice in Wisconsin (license number 74002-20) 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 1447344825.

Contact Information

	Luella M Guzman, MD
	500 Mcmillen St, Fort Atkinson, WI 53538-1233
	(920) 563-5571
	Not Available

Map and Direction

Physician's Profile

Full Name	Luella M Guzman
Gender	Female
Speciality	Pediatrics
Location	500 Mcmillen St, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447344825
Provider Enumeration Date: 10/03/2006
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1153362306
Enrollment ID: I20160216002500

Medical Identifiers

Medical identifiers for Luella M Guzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447344825	NPI	-	NPPES
1447344825	Medicaid	WI
1447344825	Medicaid	VA
1516609	Medicaid	TN
21385301	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G151934 (California)	Secondary
208000000X	Pediatrics	74002-20 (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. Luella M Guzman allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Luella M Guzman 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
Luella M Guzman, MD Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 563-4466	Luella M Guzman, MD 500 Mcmillen St, Fort Atkinson, WI 53538-1233 Ph: (920) 563-5571

Reviews and Comments

Pediatrics Doctors in Fort Atkinson, WI

Akm Abuhiya, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571
Dr. Paul J Neary, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 213 N High St, Fort Atkinson, WI 53538 Phone: 920-542-5028
Dr. Caitlin Victoria Mary Fleming, MD/MBA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 713-500-5666 Fax: 713-500-5800
Catherine L Sweeney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705

Luella M Guzman, MD - Medicare Pediatrics in Fort Atkinson, WI