Ms Nichelle D Rothong, PHD in Milwaukee, WI - Medicare Clinical Psychologist Provider

Ms Nichelle D Rothong, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Milwaukee, Wisconsin. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 385-1922.

Ms Nichelle D Rothong is licensed to practice in Wisconsin (license number 3383-57) 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 1033443122.

Contact Information

	Ms Nichelle D Rothong, PHD
	2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669
	(414) 385-1922
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nichelle D Rothong
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	2801 W Kinnickinnic River Pkwy, Milwaukee, 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:

Ms Nichelle D Rothong graduated from medical school in 2014

NPI Data:

NPI Number: 1033443122
Provider Enumeration Date: 09/23/2009
Last Update Date: 11/24/2025

Medicare PECOS Information:

PECOS PAC ID: 1456647023
Enrollment ID: I20160907002399

Medical Identifiers

Medical identifiers for Ms Nichelle D Rothong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033443122	NPI	-	NPPES
100059806	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3383 (Wisconsin)	Secondary
103G00000X	Clinical Neuropsychologist	3383-57 (Wisconsin)	Primary
101Y00000X	Counselor	764-226 (Wisconsin)	Secondary

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. Ms Nichelle D Rothong 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. Ms Nichelle D Rothong 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
Ms Nichelle D Rothong, PHD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Ms Nichelle D Rothong, PHD 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 Ph: (414) 385-1922

Ms Nichelle D Rothong, PHD - Medicare in Milwaukee, WI