Roberta A Bronecki, LCSW in Mauston, WI - Medicare Clinical Social Worker Provider

Roberta A Bronecki, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mauston, Wisconsin. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pine Valley Integrated Services Llc and her current practice location is 124 Grayside Ave, Mauston, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 847-7575.

Roberta A Bronecki is licensed to practice in Wisconsin (license number 7163-123) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205830965.

Contact Information

	Roberta A Bronecki, LCSW
	124 Grayside Ave, Mauston, WI 53948-1913
	(608) 847-7575
	(608) 847-3096

Map and Direction

Healthcare Provider's Profile

Full Name	Roberta A Bronecki
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	124 Grayside Ave, Mauston, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Roberta A Bronecki graduated from medical school in 2002

NPI Data:

NPI Number: 1205830965
Provider Enumeration Date: 06/10/2005
Last Update Date: 05/23/2019

Medicare PECOS Information:

PECOS PAC ID: 7810951852
Enrollment ID: I20041118000577

Medical Identifiers

Medical identifiers for Roberta A Bronecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205830965	NPI	-	NPPES
11988111	Other		CAQH
40983800	Medicaid	WI
1013375104	Other	WI	AGENCY NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7163 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	7163-123 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Valley Integrated Services Llc	2769777911	3

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. Roberta A Bronecki allows following entities to bill medicare on her behalf.

Entity Name	Pine Valley Integrated Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013375104 PECOS PAC ID: 2769777911 Enrollment ID: O20160826000873

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. Roberta A Bronecki 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
Roberta A Bronecki, LCSW Po Box 359, Mauston, WI 53948-0359 Ph: (608) 847-7575	Roberta A Bronecki, LCSW 124 Grayside Ave, Mauston, WI 53948-1913 Ph: (608) 847-7575

Reviews and Comments

Social Worker in Mauston, WI

Kristen Emily Golat, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 124 Grayside Ave, Mauston, WI 53948 Phone: 608-350-1135 Fax: 608-350-1288
Mrs. Erica Andrea Lehr-reuber, A.P.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 Fax: 608-847-3419
Ms. Joyce Anne Mcconnell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 S Hickory St, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599
Katy Peerenboom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Grayside Ave, Mauston, WI 53948 Phone: 608-350-1135
Bobbi Jo Jewison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Grayside Ave, Mauston, WI 53948 Phone: 608-847-7575
Mrs. Kayla Marie Seitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 Gateway Ave Ste F, Mauston, WI 53948 Phone: 608-285-2133 Fax: 608-285-2133

Roberta A Bronecki, LCSW - Medicare Clinical Social Worker in Mauston, WI