Dr Daniel Wayne Bishop, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Delavan, Wisconsin. His current practice location is
312 S 7th St Stop 2, Delavan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 374-4444.
Dr Daniel Wayne Bishop is licensed to practice in Wisconsin (license number 320657) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215039201.
Healthcare Provider's Profile
| Full Name | Dr Daniel Wayne Bishop |
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| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 312 S 7th St Stop 2, Delavan, 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: 1215039201
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072836360
- Enrollment ID: I20160809000902
Medical Identifiers
Medical identifiers for Dr Daniel Wayne Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215039201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 15360-135 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15348-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 4047-125 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14303 (Illinois) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 180004694 (Illinois) | Secondary |
| 103TC1900X | Psychologist - Counseling | 320657 (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 Daniel Wayne Bishop allows following entities to bill medicare on his behalf.
| Entity Name | Dr. Daniel Bishop |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790316347
PECOS PAC ID: 7618308487
Enrollment ID: O20200511002560 |
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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 Daniel Wayne Bishop 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 Daniel Wayne Bishop, PSYD
191 W South St,
Lake Geneva, WI 53147-2417
Ph: (262) 374-3445 | Dr Daniel Wayne Bishop, PSYD
312 S 7th St Stop 2,
Delavan, WI 53115-1964
Ph: (262) 374-4444 |
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