Martine Banda-wolk, APNP in Richland Center, WI

Martine Banda-wolk, APNP is a medicare enrolled "Nurse Practitioner" in Richland Center, Wisconsin. Her current practice location is 333 E 2nd St, Richland Center, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 647-6321.

Martine Banda-wolk is licensed to practice in Wisconsin (license number 302-33) 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 1124029608.

Contact Information

	Martine Banda-wolk, APNP
	333 E 2nd St, Richland Center, WI 53581-1914
	(608) 647-6321
	Not Available

Map and Direction

Provider's Profile

Full Name	Martine Banda-wolk
Gender	Female
Speciality	Nurse Practitioner
Location	333 E 2nd St, Richland Center, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124029608
Provider Enumeration Date: 08/09/2005
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2668514449
Enrollment ID: I20100115000683

Medical Identifiers

Medical identifiers for Martine Banda-wolk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124029608	NPI	-	NPPES
500010481	Other	WI	RAILROAD MEDICARE
0852480001	Other	WI	DMERC
43810800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	302-33 (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. Martine Banda-wolk allows following entities to bill medicare on her behalf.

Entity Name	Richland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356

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. Martine Banda-wolk 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
Martine Banda-wolk, APNP 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321	Martine Banda-wolk, APNP 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321

Reviews and Comments

Nurse Practitioner Nurses in Richland Center, WI

Jenna Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Males Mainviel, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Anna Banker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Travis John Kleist, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Rebecca K Malkow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Philomena M Poole, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6161 Fax: 608-647-3178

Martine Banda-wolk, APNP - Medicare Nurse Practitioner in Richland Center, WI