Mrs Tina Marie Degroot, APNP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Stoughton, Wisconsin. Her current practice location is
900 Ridge St, Stoughton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 873-6611.
Mrs Tina Marie Degroot is licensed to practice in Wisconsin (license number 3554-33) 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 1346327392.
Provider's Profile
| Full Name | Mrs Tina Marie Degroot |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 900 Ridge St, Stoughton, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346327392
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981590072
- Enrollment ID: I20180712002258
Medical Identifiers
Medical identifiers for Mrs Tina Marie Degroot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346327392 | NPI | - | NPPES |
| 38219400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 3554-33 (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 Tina Marie Degroot allows following entities to bill medicare on her behalf.
| Entity Name | Stoughton Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
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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 Tina Marie Degroot 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 Tina Marie Degroot, APNP 900 Ridge St, Stoughton, WI 53589-1864 Ph: (608) 873-6611 | Mrs Tina Marie Degroot, APNP 900 Ridge St, Stoughton, WI 53589-1864 Ph: (608) 873-6611 |
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