Dr Rebecca Michelle Radue, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jefferson, Wisconsin. Her current practice location is
1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 723-7417.
Dr Rebecca Michelle Radue is licensed to practice in Wisconsin (license number 65161-20) 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 1447678651.
Physician's Profile
Full Name | Dr Rebecca Michelle Radue |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1541 Annex Rd, Jefferson, 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: 1447678651
- Provider Enumeration Date: 04/03/2014
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385867381
- Enrollment ID: I20161027000319
Medical Identifiers
Medical identifiers for Dr Rebecca Michelle Radue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447678651 | NPI | - | NPPES |
100047644 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 65161-20 (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. Dr Rebecca Michelle Radue allows following entities to bill medicare on her behalf.
Entity Name | Jefferson County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371 |
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Entity Name | County Of Dodge |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871508515 PECOS PAC ID: 2466475587 Enrollment ID: O20060104000398 |
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Entity Name | Mental Health Emergency Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255099941 PECOS PAC ID: 3274916044 Enrollment ID: O20220922000219 |
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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. Dr Rebecca Michelle Radue 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 |
Dr Rebecca Michelle Radue, MD 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 723-7417 | Dr Rebecca Michelle Radue, MD 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 723-7417 |
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