Theresa Hagen, CNM, RN, APNP in Onalaska, WI - Medicare Advanced Practice Midwife

Theresa Hagen, CNM, RN, APNP is a medicare enrolled "Advanced Practice Midwife" in Onalaska, Wisconsin. Her current practice location is 191 Theater Rd, Onalaska, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 785-0940.

Theresa Hagen is licensed to practice in Wisconsin (license number 148805-032) 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 1356463053.

Contact Information

	Theresa Hagen, CNM, RN, APNP
	191 Theater Rd, Onalaska, WI 54650
	(608) 785-0940
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Hagen
Gender	Female
Speciality	Advanced Practice Midwife
Location	191 Theater Rd, Onalaska, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356463053
Provider Enumeration Date: 04/04/2007
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7416030648
Enrollment ID: I20080212000268

Medical Identifiers

Medical identifiers for Theresa Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356463053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	148805-032 (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. Theresa Hagen allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Theresa Hagen 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
Theresa Hagen, CNM, RN, APNP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940	Theresa Hagen, CNM, RN, APNP 191 Theater Rd, Onalaska, WI 54650 Ph: (608) 785-0940

Reviews and Comments

Advanced Practice Midwife Nurses in Onalaska, WI

Angela M Connely, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3111 Gunderson Rd, Onalaska, WI 54650 Phone: 608-782-7300
Jennifer H Meyers, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000
Hilary Anne Conn, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100
Ahlex Kortsan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100
Ms. Jacqueline M Pierce, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300
Linda D Hirsh, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300

Theresa Hagen, CNM, RN, APNP - Medicare Advanced Practice Midwife in Onalaska, WI