Elizabeth Susan Reid, APNP is a medicare enrolled "Nurse Practitioner - Family" in Palmyra, Wisconsin. Her current practice location is
W801 Rome Oak Hill Rd, Palmyra, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 875-4892.
Elizabeth Susan Reid is licensed to practice in Wisconsin (license number 13462-33) 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 1093429151.
Provider's Profile
| Full Name | Elizabeth Susan Reid |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | W801 Rome Oak Hill Rd, Palmyra, 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: 1093429151
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 02/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709259864
- Enrollment ID: I20230310001711
Medical Identifiers
Medical identifiers for Elizabeth Susan Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093429151 | NPI | - | NPPES |
| 100225684 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 13462-33 (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. Elizabeth Susan Reid allows following entities to bill medicare on her behalf.
| Entity Name | Village Primary Care Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003324617 PECOS PAC ID: 1355603069 Enrollment ID: O20180316001039 |
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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. Elizabeth Susan Reid 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 |
Elizabeth Susan Reid, APNP Po Box 438, Sullivan, WI 53178-0438 Ph: (262) 875-4892 | Elizabeth Susan Reid, APNP W801 Rome Oak Hill Rd, Palmyra, WI 53156-9729 Ph: (262) 875-4892 |
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