Mrs Betsy J Wacker, PAC is a
Physician Assistant based in Stanley, Wisconsin. Mrs Betsy J Wacker is licensed to practice in Wisconsin (license number 1206) and her current practice location is
1120 Pine St, Stanley, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 644-5530.
NPI number for Mrs Betsy J Wacker is 1790870079 and her current mailing address is 1120 Pine St, Stanley, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790870079.
Provider's Profile
| Full Name | Mrs Betsy J Wacker |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1120 Pine St, Stanley, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790870079
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 06/09/2010
Medical Identifiers
Medical identifiers for Mrs Betsy J Wacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790870079 | NPI | - | NPPES |
| 42989100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1206 (Wisconsin) | Primary |
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. Mrs Betsy J Wacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Betsy J Wacker, PAC
1120 Pine St,
Stanley, WI 54768-1297
Ph: (715) 644-5530 | Mrs Betsy J Wacker, PAC
1120 Pine St,
Stanley, WI 54768-1297
Ph: (715) 644-5530 |
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