Gwen Herzog, RN in Watertown, WI - Medicare Nurse Practitioner

Gwen Herzog, RN is a medicare enrolled "Nurse Practitioner - Family" in Watertown, Wisconsin. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oak Medical Sc and her current practice location is 903 Harvey Ave, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 248-1723.

Gwen Herzog is licensed to practice in Wisconsin (license number 7630-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467832667.

Contact Information

	Gwen Herzog, RN
	903 Harvey Ave, Watertown, WI 53094-5007
	(920) 248-1723
	Not Available

Map and Direction

Provider's Profile

Full Name	Gwen Herzog
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	903 Harvey Ave, Watertown, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gwen Herzog graduated from nursing school in 2016

NPI Data:

NPI Number: 1467832667
Provider Enumeration Date: 06/02/2015
Last Update Date: 04/13/2017

Medicare PECOS Information:

PECOS PAC ID: 7012289747
Enrollment ID: I20180212000692

Medical Identifiers

Medical identifiers for Gwen Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467832667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	191155 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	7630-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Recover Health Of Wisconsin, Inc	Brookfield, WI	Home health agency
Agrace Hospicecare	Madison, WI	Hospice
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Beloit Health System	Beloit, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oak Medical Sc	0042595175	83

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. Gwen Herzog allows following entities to bill medicare on her behalf.

Entity Name	Agrace Palliative Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326386129 PECOS PAC ID: 4385882729 Enrollment ID: O20130524000443

Entity Name	Oak Medical Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848

Entity Name	Maple Medical Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607

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. Gwen Herzog 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
Gwen Herzog, RN 903 Harvey Ave, Watertown, WI 53094-5007 Ph: () -	Gwen Herzog, RN 903 Harvey Ave, Watertown, WI 53094-5007 Ph: (920) 248-1723

Reviews and Comments

Nurse Practitioner Nurses in Watertown, WI

Mrs. Amber Kathlyn Miller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4495
Jan S Beyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6693
Mary Lee Grigson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 Hill St, Watertown, WI 53098 Phone: 844-206-4930 Fax: 920-261-7327
Jeannie Kaye Adams, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107
Dr. Mary K Gatzke, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W5726 County T, Watertown, WI 53094 Phone: 920-253-6582
Ms. Ashley Rydquist, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 926 N 4th St, Watertown, WI 53098 Phone: 920-342-8630
Mrs. Jewel E Schneider, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Watertown, WI 53094 Phone: 920-262-7444

Gwen Herzog, RN - Medicare Nurse Practitioner in Watertown, WI