Suzette M Bornemann, APNP - Medicare Nurse Practitioner in Crivitz, WI

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Suzette M Bornemann, APNP is a medicare enrolled "Nurse Practitioner - Family" in Crivitz, Wisconsin. Her current practice location is 218 S Hwy 141, Crivitz, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 854-7477.

Suzette M Bornemann is licensed to practice in Wisconsin (license number 5219-33) 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 1851630834.

Contact Information

Suzette M Bornemann, APNP
218 S Hwy 141,
Crivitz, WI 54114-1677
(715) 854-7477
(715) 854-7785

Map and Direction




Provider's Profile

Full NameSuzette M Bornemann
GenderFemale
SpecialityNurse Practitioner - Family
Location218 S Hwy 141, Crivitz, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851630834
  • Provider Enumeration Date: 02/11/2013
  • Last Update Date: 12/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668619065
  • Enrollment ID: I20130502000077

Medical Identifiers

Medical identifiers for Suzette M Bornemann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851630834NPI-NPPES
2012012365OtherAMERICAN NURSES CREDENTIALING CENTER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC0200XNurse Practitioner - Critical Care Medicine 5219-33 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 5219-33 (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. Suzette M Bornemann allows following entities to bill medicare on her behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089

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. Suzette M Bornemann 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 AddressPractice Location Address
Suzette M Bornemann, APNP
Po Box 1866,
Green Bay, WI 54305-1866

Ph: (920) 445-7210		Suzette M Bornemann, APNP
218 S Hwy 141,
Crivitz, WI 54114-1677

Ph: (715) 854-7477

Reviews and Comments


Nurse Practitioner Nurses in Crivitz, WI

Gina M Suchocki,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 N Us Highway 141, Crivitz, WI 54114
Phone: 715-854-3940    Fax: 715-854-3941
Amel Mohamed Elshaier, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 515 N Us Highway 141, Crivitz, WI 54114
Phone: 715-854-7050    Fax: 715-854-3485

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.