Ms Nicolette Ella Weisensel, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Watertown, Wisconsin. Her current practice location is
129 Hospital Dr, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 262-4800.
Ms Nicolette Ella Weisensel is licensed to practice in Wisconsin (license number 43679-20) 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 1336133727.
Physician's Profile
| Full Name | Ms Nicolette Ella Weisensel |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 129 Hospital Dr, Watertown, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336133727
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 02/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204885585
- Enrollment ID: I20050113000286
Medical Identifiers
Medical identifiers for Ms Nicolette Ella Weisensel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336133727 | NPI | - | NPPES |
| 34591800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43679-20 (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. Ms Nicolette Ella Weisensel allows following entities to bill medicare on her behalf.
| Entity Name | Rogers Memorial Hospital Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371 |
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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 Nicolette Ella Weisensel 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 |
Ms Nicolette Ella Weisensel, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-5000 | Ms Nicolette Ella Weisensel, MD 129 Hospital Dr, Watertown, WI 53098-3334 Ph: (920) 262-4800 |
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