Chelsea Rae Derocha-cavalea, APNP in Wauwatosa, WI

Chelsea Rae Derocha-cavalea, APNP is a medicare enrolled "Nurse Practitioner" in Wauwatosa, Wisconsin. Her current practice location is 601 N 99th St Ste 302, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 431-2186.

Chelsea Rae Derocha-cavalea is licensed to practice in Wisconsin (license number 8293-033) 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 1780187658.

Contact Information

	Chelsea Rae Derocha-cavalea, APNP
	601 N 99th St Ste 302, Wauwatosa, WI 53226-4362
	(414) 431-2186
	(414) 431-9619

Map and Direction

Provider's Profile

Full Name	Chelsea Rae Derocha-cavalea
Gender	Female
Speciality	Nurse Practitioner
Location	601 N 99th St Ste 302, Wauwatosa, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780187658
Provider Enumeration Date: 03/16/2018
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5991068330
Enrollment ID: I20210621000771

Medical Identifiers

Medical identifiers for Chelsea Rae Derocha-cavalea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780187658	NPI	-	NPPES
100075795	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	8293 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	8293-033 (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. Chelsea Rae Derocha-cavalea allows following entities to bill medicare on her behalf.

Entity Name	Milwaukee Nephrologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982763405 PECOS PAC ID: 4385538446 Enrollment ID: O20040210000576

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. Chelsea Rae Derocha-cavalea 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
Chelsea Rae Derocha-cavalea, APNP 2514 S 102nd St Ste 120, West Allis, WI 53227-2142 Ph: (414) 259-8917	Chelsea Rae Derocha-cavalea, APNP 601 N 99th St Ste 302, Wauwatosa, WI 53226-4362 Ph: (414) 431-2186

Reviews and Comments

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Chelsea Rae Derocha-cavalea, APNP - Medicare Nurse Practitioner in Wauwatosa, WI