Tia Marie Vaccaro-mussehl, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Middleton, Wisconsin. Her current practice location is
3030 Laura Ln Ste 130, Middleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(888) 688-4746.
Tia Marie Vaccaro-mussehl is licensed to practice in Wisconsin (license number 10116) 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 1093341380.
Physician's Profile
| Full Name | Tia Marie Vaccaro-mussehl |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3030 Laura Ln Ste 130, Middleton, 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: 1093341380
- Provider Enumeration Date: 03/18/2020
- Last Update Date: 03/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224434543
- Enrollment ID: I20210910001661
Medical Identifiers
Medical identifiers for Tia Marie Vaccaro-mussehl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093341380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | F01201947 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10116 (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. Tia Marie Vaccaro-mussehl allows following entities to bill medicare on her behalf.
| Entity Name | Meriter Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346 |
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| Entity Name | Pivotal Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508465220 PECOS PAC ID: 5496159782 Enrollment ID: O20210809002587 |
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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. Tia Marie Vaccaro-mussehl 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 |
Tia Marie Vaccaro-mussehl, FNP-C 3030 Laura Ln Ste 130, Middleton, WI 53562-1872 Ph: (888) 688-4746 | Tia Marie Vaccaro-mussehl, FNP-C 3030 Laura Ln Ste 130, Middleton, WI 53562-1872 Ph: (888) 688-4746 |
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