Mrs Marina Deatherage, in Lake Geneva, WI

Mrs Marina Deatherage, is a medicare enrolled "Nurse Practitioner" in Lake Geneva, Wisconsin. Her current practice location is 146 E Geneva Sq, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 249-4660.

Mrs Marina Deatherage is licensed to practice in Wisconsin (license number 10857-033) 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 1538706858.

Contact Information

	Mrs Marina Deatherage,
	146 E Geneva Sq, Lake Geneva, WI 53147-9694
	(262) 249-4660
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marina Deatherage
Gender	Female
Speciality
Experience	Years
Location	146 E Geneva Sq, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Yes. 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 Marina Deatherage attended and graduated from in

NPI Data:

NPI Number: 1538706858
Provider Enumeration Date: 12/05/2019
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Marina Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538706858	NPI	-	NPPES
100162164	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209020317 (Illinois)	Secondary
363L00000X	Nurse Practitioner	10857-033 (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 Marina Deatherage 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 Marina Deatherage, 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-4660	Mrs Marina Deatherage, 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-4660

Reviews and Comments

Nurse Practitioner Nurses in Lake Geneva, WI

Crystal J Dillett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-939-5459
Jennifer May Kirkpatrick, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Harmony Dr, Lake Geneva, WI 53147 Phone: 262-249-1960 Fax: 262-249-1962
Amanda Ann Farrell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248
Amanda Wolf, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N2257 Wilmot Blvd, Lake Geneva, WI 53147 Phone: 775-217-3487
Lexi Lederhaus, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7143
Joann Kiemen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5030
Ms. Claudia L Peterson, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 877-666-7223

Mrs Marina Deatherage, - Medicare in Lake Geneva, WI