Mrs Dezari M Dykstra, RN-MSN,FNP, APNP in Oconomowoc, WI

Mrs Dezari M Dykstra, RN-MSN,FNP, APNP is a medicare enrolled "Nurse Practitioner - Family" in Oconomowoc, Wisconsin. Her current practice location is 1746 Executive Dr., Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 569-5515.

Mrs Dezari M Dykstra is licensed to practice in Wisconsin (license number 5964-33) 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 1225105786.

Contact Information

	Mrs Dezari M Dykstra, RN-MSN,FNP, APNP
	1746 Executive Dr., Oconomowoc, WI 53066-4830
	(262) 569-5515
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Dezari M Dykstra
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1746 Executive Dr., Oconomowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225105786
Provider Enumeration Date: 11/29/2006
Last Update Date: 03/15/2015

Medicare PECOS Information:

PECOS PAC ID: 3375860281
Enrollment ID: I20150402000031

Medical Identifiers

Medical identifiers for Mrs Dezari M Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225105786	NPI	-	NPPES
39877800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	148986-030 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	5964-33 (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 Dezari M Dykstra 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
Mrs Dezari M Dykstra, RN-MSN,FNP, APNP Po Box 278, Dousman, WI 53118-0278 Ph: (262) 569-5515	Mrs Dezari M Dykstra, RN-MSN,FNP, APNP 1746 Executive Dr., Oconomowoc, WI 53066-4830 Ph: (262) 569-5515

Reviews and Comments

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Mrs Dezari M Dykstra, RN-MSN,FNP, APNP - Medicare Nurse Practitioner in Oconomowoc, WI