Dr Alison Wismer Fries, PHD is a medicare enrolled "Psychologist - Clinical" provider in Waupaca, Wisconsin. Her current practice location is
811 Harding St, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 258-6342.
Dr Alison Wismer Fries is licensed to practice in Wisconsin (license number 3788-57) 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 1477292712.
Healthcare Provider's Profile
Full Name | Dr Alison Wismer Fries |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 811 Harding St, Waupaca, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477292712
- Provider Enumeration Date: 06/03/2022
- Last Update Date: 06/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658725338
- Enrollment ID: I20230928003155
Medical Identifiers
Medical identifiers for Dr Alison Wismer Fries such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477292712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 3788-57 (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. Dr Alison Wismer Fries allows following entities to bill medicare on her behalf.
Entity Name | County Of Waupaca |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588631691 PECOS PAC ID: 1254348386 Enrollment ID: O20060315000375 |
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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. Dr Alison Wismer Fries 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 |
Dr Alison Wismer Fries, PHD 811 Harding St, Waupaca, WI 54981-2012 Ph: (715) 258-6342 | Dr Alison Wismer Fries, PHD 811 Harding St, Waupaca, WI 54981-2012 Ph: (715) 258-6342 |
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