Mrs Sally Ann Marohn, AGPCNP-BC in Neenah, WI

Mrs Sally Ann Marohn, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Neenah, Wisconsin. Her current practice location is 100 N Main St, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 223-7370.

Mrs Sally Ann Marohn is licensed to practice in Wisconsin (license number 5478-33) 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 1720415581.

Contact Information

	Mrs Sally Ann Marohn, AGPCNP-BC
	100 N Main St, Neenah, WI 54956
	(920) 223-7370
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sally Ann Marohn
Gender	Female
Speciality	Nurse Practitioner
Location	100 N Main St, Neenah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720415581
Provider Enumeration Date: 10/10/2013
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3577791672
Enrollment ID: I20140117001080

Medical Identifiers

Medical identifiers for Mrs Sally Ann Marohn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720415581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	5478-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	5478-33 (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 Sally Ann Marohn allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

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 Sally Ann Marohn 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 Sally Ann Marohn, AGPCNP-BC 100 N Main St, Ascension Nursing Home Services, Neenah, WI 54956 Ph: (920) 223-7370	Mrs Sally Ann Marohn, AGPCNP-BC 100 N Main St, Neenah, WI 54956 Ph: (920) 223-7370

Reviews and Comments

Nurse Practitioner Nurses in Neenah, WI

Alexander Brian Goyette, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373
Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023
Pamela Macwilliams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378

Mrs Sally Ann Marohn, AGPCNP-BC - Medicare Nurse Practitioner in Neenah, WI