Ms Mary R Butler, NP is a medicare enrolled "Nurse Practitioner" in Ashwaubenon, Wisconsin. Her current practice location is
2301 S Oneida St, Ashwaubenon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 497-7783.
Ms Mary R Butler is licensed to practice in Wisconsin (license number 2761) 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 1093766487.
Provider's Profile
| Full Name | Ms Mary R Butler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2301 S Oneida St, Ashwaubenon, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093766487
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456366061
- Enrollment ID: I20140502001110
Medical Identifiers
Medical identifiers for Ms Mary R Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093766487 | NPI | - | NPPES |
| 41276100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 2761 (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. Ms Mary R Butler allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Aurora Quick Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609820729
PECOS PAC ID: 7719996792
Enrollment ID: O20060419000702 |
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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. Ms Mary R Butler 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 |
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Ms Mary R Butler, NP
2301 S Oneida St,
Ashwaubenon, WI 54304-5230
Ph: (920) 497-7783 | Ms Mary R Butler, NP
2301 S Oneida St,
Ashwaubenon, WI 54304-5230
Ph: (920) 497-7783 |
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