Shyleena Dettinger, APNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Warrens, Wisconsin. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sauk County and her current practice location is
5060 County Hwy E, Warrens, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 572-0472.
Shyleena Dettinger is licensed to practice in Wisconsin (license number 13573-33) 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 1669177879.
Provider's Profile
| Full Name | Shyleena Dettinger |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 5060 County Hwy E, Warrens, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shyleena Dettinger graduated from nursing school in 2023
NPI Data:
- NPI Number: 1669177879
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002349826
- Enrollment ID: I20241031001299
Medical Identifiers
Medical identifiers for Shyleena Dettinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669177879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13573-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sauk County | 7618931148 | 14 |
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. Shyleena Dettinger allows following entities to bill medicare on her behalf.
| Entity Name | Sauk County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528056819
PECOS PAC ID: 7618931148
Enrollment ID: O20041115001185 |
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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. Shyleena Dettinger 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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Shyleena Dettinger, APNP, PMHNP-BC
5060 County Hwy E,
Warrens, WI 54666-8636
Ph: () - | Shyleena Dettinger, APNP, PMHNP-BC
5060 County Hwy E,
Warrens, WI 54666-8636
Ph: (608) 572-0472 |
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