Theresa J Baseley, NP in Fond Du Lac, WI - Medicare Nurse Practitioner

Theresa J Baseley, NP is a medicare enrolled "Nurse Practitioner" in Fond Du Lac, Wisconsin. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 907-7000.

Theresa J Baseley is licensed to practice in Wisconsin (license number 2688-033) 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 1043279805.

Contact Information

	Theresa J Baseley, NP
	210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999
	(920) 907-7000
	(920) 907-7012

Map and Direction

Provider's Profile

Full Name	Theresa J Baseley
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	210 Wisconsin American Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa J Baseley graduated from nursing school in 2004

NPI Data:

NPI Number: 1043279805
Provider Enumeration Date: 03/21/2006
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5395766703
Enrollment ID: I20051213000793

Medical Identifiers

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

Identifier	Type	State	Issuer
1043279805	NPI	-	NPPES
41272800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2688-033 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Ctr Oshkosh	Oshkosh, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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 J Baseley allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 J Baseley 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 J Baseley, NP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377	Theresa J Baseley, NP 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 Ph: (920) 907-7000

Reviews and Comments

Nurse Practitioner Nurses in Fond Du Lac, WI

Jeanette Roehl, APNP FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Mary R Kelm, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8230
Michelle Kehrmeyer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 209-926-4197 Fax: 920-926-4197
Jessica L Habeck, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5020
Mrs. Jennifer Nicole Stephany, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200 Fax: 920-926-8907
Tammy Rae Karls, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8495

Theresa J Baseley, NP - Medicare Nurse Practitioner in Fond Du Lac, WI