Mrs Melissajo Truckenbrod, APNP is a medicare enrolled "Nurse Practitioner - Family" physician in Milwaukee, Wisconsin. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbia St Marys Hospital Milwaukee Inc and her current practice location is
2311 N Prospect Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 319-3000.
Mrs Melissajo Truckenbrod is licensed to practice in Wisconsin (license number 14583-33) 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 1922873850.
Physician's Profile
| Full Name | Mrs Melissajo Truckenbrod |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 2311 N Prospect Ave, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Melissajo Truckenbrod graduated from medical school in 2023
NPI Data:
- NPI Number: 1922873850
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476905183
- Enrollment ID: I20240118001767
Medical Identifiers
Medical identifiers for Mrs Melissajo Truckenbrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922873850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 14583-33 (Wisconsin) | Secondary |
| 207QA0000X | Family Medicine - Adolescent Medicine | 14583-33 (Wisconsin) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 14583-33 (Wisconsin) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 14583-33 (Wisconsin) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 14583-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14583-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
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. Mrs Melissajo Truckenbrod allows following entities to bill medicare on her behalf.
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
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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. Mrs Melissajo Truckenbrod 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 |
Mrs Melissajo Truckenbrod, APNP 2311 N Prospect Ave, Milwaukee, WI 53211-4445 Ph: (414) 391-3000 | Mrs Melissajo Truckenbrod, APNP 2311 N Prospect Ave, Milwaukee, WI 53211-4445 Ph: (414) 319-3000 |
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