Mrs Suzanne K Ronquillo, MA, LPC, LMFT-IT is a medicare enrolled "Marriage & Family Therapist" provider in Port Washington, Wisconsin. Her current practice location is
121 W Main St, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 284-8200.
Mrs Suzanne K Ronquillo is licensed to practice in Wisconsin (license number 364-228) 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 1306270756.
Healthcare Provider's Profile
Full Name | Mrs Suzanne K Ronquillo |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 121 W Main St, Port Washington, 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: 1306270756
- Provider Enumeration Date: 08/21/2013
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355792805
- Enrollment ID: I20240109001663
Medical Identifiers
Medical identifiers for Mrs Suzanne K Ronquillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306270756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 5207-125 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 364-228 (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. Mrs Suzanne K Ronquillo allows following entities to bill medicare on her behalf.
Entity Name | County Of Ozaukee |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609867001 PECOS PAC ID: 5698737450 Enrollment ID: O20041103000458 |
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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. Mrs Suzanne K Ronquillo 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 |
Mrs Suzanne K Ronquillo, MA, LPC, LMFT-IT 3200 W Highland Blvd, Milwaukee, WI 53208-3252 Ph: () - | Mrs Suzanne K Ronquillo, MA, LPC, LMFT-IT 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 284-8200 |
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