Ms Suzette M Kosnar-tittl, MA is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. Her current practice location is
529 S Jefferson St Ste 202, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 884-2175.
Ms Suzette M Kosnar-tittl is licensed to practice in Wisconsin (license number 4044123) 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 1285736249.
Healthcare Provider's Profile
| Full Name | Ms Suzette M Kosnar-tittl |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 529 S Jefferson St Ste 202, Green Bay, 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: 1285736249
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204731722
- Enrollment ID: I20031205000709
Medical Identifiers
Medical identifiers for Ms Suzette M Kosnar-tittl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285736249 | NPI | - | NPPES |
| 39722900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2376125 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 489124 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4044123 (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. Ms Suzette M Kosnar-tittl allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Wisconsin Behavioral Health Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275733602
PECOS PAC ID: 9436245230
Enrollment ID: O20071009000791 |
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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. Ms Suzette M Kosnar-tittl 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 Suzette M Kosnar-tittl, MA
529 S Jefferson St Ste 202,
Green Bay, WI 54301-4125
Ph: (920) 884-2175 | Ms Suzette M Kosnar-tittl, MA
529 S Jefferson St Ste 202,
Green Bay, WI 54301-4125
Ph: (920) 884-2175 |
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