Mrs Kelly Marie Bublitz, APNP in Mequon, WI - Medicare Nurse Practitioner

Mrs Kelly Marie Bublitz, APNP is a medicare enrolled "Nurse Practitioner" in Mequon, Wisconsin. Her current practice location is 13133 N Port Washington Rd Ste 204, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 243-2524.

Mrs Kelly Marie Bublitz is licensed to practice in Wisconsin (license number 16214-33) 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 1053136481.

Contact Information

	Mrs Kelly Marie Bublitz, APNP
	13133 N Port Washington Rd Ste 204, Mequon, WI 53097-2420
	(262) 243-2524
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Marie Bublitz
Gender	Female
Speciality	Nurse Practitioner
Location	13133 N Port Washington Rd Ste 204, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053136481
Provider Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6204365604
Enrollment ID: I20250130001524

Medical Identifiers

Medical identifiers for Mrs Kelly Marie Bublitz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053136481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	16214-33 (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. Mrs Kelly Marie Bublitz allows following entities to bill medicare on her behalf.

Entity Name	Madison Medical Affiliates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018

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 Kelly Marie Bublitz 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 Kelly Marie Bublitz, APNP 1608 Behrens Dr, Cedarburg, WI 53012-8870 Ph: (262) 339-5809	Mrs Kelly Marie Bublitz, APNP 13133 N Port Washington Rd Ste 204, Mequon, WI 53097-2420 Ph: (262) 243-2524

Reviews and Comments

Nurse Practitioner Nurses in Mequon, WI

Mrs. Brittany Frisque, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255
Mrs. Mary Katherine Kautz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097 Phone: 262-243-3700 Fax: 262-243-3701
Kathryn R Rodberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11430 N. Port Washington Rd., Mequon, WI 53092 Phone: 262-518-1900
Katelyn Steger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255
Lindsay A Wojciechowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200
Annette S Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8239

Mrs Kelly Marie Bublitz, APNP - Medicare Nurse Practitioner in Mequon, WI