Mrs Diana L Charlebois, MSN-FNP - Medicare Nurse Practitioner in Portage, WI

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Mrs Diana L Charlebois, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Portage, Wisconsin. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agrace Palliative Care Llc and her current practice location is 2817 New Pinery Road, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 745-4693.

Mrs Diana L Charlebois is licensed to practice in Wisconsin (license number 7884) 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 1386160125.

Contact Information

Mrs Diana L Charlebois, MSN-FNP
2817 New Pinery Road,
Portage, WI 53901
(608) 745-4693
(608) 745-6098

Map and Direction




Provider's Profile

Full NameMrs Diana L Charlebois
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2817 New Pinery Road, Portage, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Diana L Charlebois graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1386160125
  • Provider Enumeration Date: 08/14/2017
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355617317
  • Enrollment ID: I20171019002019

Medical Identifiers

Medical identifiers for Mrs Diana L Charlebois such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386160125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7884 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agrace Palliative Care Llc438588272910

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. Mrs Diana L Charlebois allows following entities to bill medicare on her behalf.
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameAgrace Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326386129
PECOS PAC ID: 4385882729
Enrollment ID: O20130524000443

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 Diana L Charlebois 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 AddressPractice Location Address
Mrs Diana L Charlebois, MSN-FNP
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 745-4693		Mrs Diana L Charlebois, MSN-FNP
2817 New Pinery Road,
Portage, WI 53901

Ph: (608) 745-4693

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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