Tierney Fritz, is a medicare enrolled "Preventive Medicine - Occupational Medicine" in Oshkosh, Wisconsin. Her current practice location is
1855 S Koeller St, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 223-7000.
Tierney Fritz is licensed to practice in Wisconsin (license number 15399-33) 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 1881429942.
Provider's Profile
| Full Name | Tierney Fritz |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1855 S Koeller St, Oshkosh, 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: 1881429942
- Provider Enumeration Date: 09/06/2024
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507390085
- Enrollment ID: I20241106001080
Medical Identifiers
Medical identifiers for Tierney Fritz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881429942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 15399-33 (Wisconsin) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 15399-33 (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. Tierney Fritz allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351 |
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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. Tierney Fritz 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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Tierney Fritz,
1855 S Koeller St,
Oshkosh, WI 54902-6186
Ph: () - | Tierney Fritz,
1855 S Koeller St,
Oshkosh, WI 54902-6186
Ph: (920) 223-7000 |
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