Ms Nichelle D Rothong, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Milwaukee, Wisconsin. 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.
Healthcare Provider's Profile
Full Name | Ms Nichelle D Rothong |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin |
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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 attended and graduated from in
NPI Data:
- NPI Number: 1033443122
- Provider Enumeration Date: 09/23/2009
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 764-226 (Wisconsin) | Secondary |
103T00000X | Psychologist | 3383 (Wisconsin) | Secondary |
103G00000X | Clinical Neuropsychologist | 3383-57 (Wisconsin) | Primary |
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 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 385-1922 | Ms Nichelle D Rothong, PHD 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 Ph: (414) 385-1922 |
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