Alleah M Pynenberg, in Fond Du Lac, WI - Medicare Psychologist Provider

Alleah M Pynenberg, is a medicare enrolled "Psychologist" provider in Fond Du Lac, Wisconsin. Her current practice location is 459 E 1st St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 929-3500.

Alleah M Pynenberg is licensed to practice in Wisconsin (license number 4141-57) 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 1669215257.

Contact Information

	Alleah M Pynenberg,
	459 E 1st St, Fond Du Lac, WI 54935-4505
	(920) 929-3500
	(920) 929-3129

Map and Direction

Healthcare Provider's Profile

Full Name	Alleah M Pynenberg
Gender	Female
Speciality	Psychologist
Location	459 E 1st St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669215257
Provider Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1951849579
Enrollment ID: I20240814002314

Medical Identifiers

Medical identifiers for Alleah M Pynenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669215257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4141-57 (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. Alleah M Pynenberg allows following entities to bill medicare on her behalf.

Entity Name	Fond Du Lac County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053458935 PECOS PAC ID: 2668376245 Enrollment ID: O20031125000279

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. Alleah M Pynenberg 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
Alleah M Pynenberg, 459 E 1st St, Fond Du Lac, WI 54935-4505 Ph: (920) 929-3500	Alleah M Pynenberg, 459 E 1st St, Fond Du Lac, WI 54935-4505 Ph: (920) 929-3500

Reviews and Comments

Psychologist in Fond Du Lac, WI

Dr. Espen Klausen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3529
Dr. Domenick Tirabassi Iv, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903
Nancy L Goranson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885
Joseph Haney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3527
Dr. Teri L. Kaczmarek, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Troy William Sheide, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192
Kristine Nehring, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3556

Alleah M Pynenberg, - Medicare Psychologist in Fond Du Lac, WI