Miss Kelly M Wisch, NP in Waunakee, WI - Medicare Nurse Practitioner

Miss Kelly M Wisch, NP is a medicare enrolled "Nurse Practitioner" in Waunakee, Wisconsin. Her current practice location is 1300 S Century Ave, Waunakee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 849-4315.

Miss Kelly M Wisch is licensed to practice in Wisconsin (license number 2345-033) 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 1376592543.

Contact Information

	Miss Kelly M Wisch, NP
	1300 S Century Ave, Waunakee, WI 53597-2386
	(608) 849-4315
	(608) 850-1606

Map and Direction

Provider's Profile

Full Name	Miss Kelly M Wisch
Gender	Female
Speciality	Nurse Practitioner
Location	1300 S Century Ave, Waunakee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376592543
Provider Enumeration Date: 05/08/2006
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9537067277
Enrollment ID: I20031219000733

Medical Identifiers

Medical identifiers for Miss Kelly M Wisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376592543	NPI	-	NPPES
1376592543	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2345-033 (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. Miss Kelly M Wisch allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Miss Kelly M Wisch 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
Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315	Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315

Reviews and Comments

Nurse Practitioner Nurses in Waunakee, WI

Kathryn A Swenson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1407 Trotta Ct, Waunakee, WI 53597 Phone: 608-213-7010
Meghan Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5654 Cottontail Dr, Waunakee, WI 53597 Phone: 608-576-4237
Dr. Erin Elizabeth Macmillan, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 Dartmouth Dr, Waunakee, WI 53597 Phone: 608-850-9419
Suzanne J Dynneson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606
Cindy Lee Schmitz, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Turnberry Dr, Waunakee, WI 53597 Phone: 608-206-0994
Christine M Disch, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606

Miss Kelly M Wisch, NP - Medicare Nurse Practitioner in Waunakee, WI