Nadia Bronte Churchill-gilstrap, MD is a medicare enrolled "Family Medicine" physician in Edgerton, Wisconsin. Her current practice location is
11051 N Sherman Rd, Edgerton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 884-3354.
Nadia Bronte Churchill-gilstrap is licensed to practice in Michigan (license number 4351047048) 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 1790301356.
Physician's Profile
| Full Name | Nadia Bronte Churchill-gilstrap |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 11051 N Sherman Rd, Edgerton, 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: 1790301356
- Provider Enumeration Date: 06/19/2020
- Last Update Date: 09/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638592645
- Enrollment ID: I20230925000823
Medical Identifiers
Medical identifiers for Nadia Bronte Churchill-gilstrap such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790301356 | NPI | - | NPPES |
| 1790301356 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 82468 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 4351047048 (Michigan) | 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. Nadia Bronte Churchill-gilstrap allows following entities to bill medicare on her behalf.
| Entity Name | Dean Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
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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. Nadia Bronte Churchill-gilstrap 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 |
Nadia Bronte Churchill-gilstrap, MD 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 | Nadia Bronte Churchill-gilstrap, MD 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 |
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