Emily T Engelke, CD in Berlin, WI - Medicare Dietitian, Registered Provider

Emily T Engelke, CD is a medicare enrolled "Dietitian, Registered" provider in Berlin, Wisconsin. Her current practice location is 225 Memorial Dr, Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 361-5509.

Emily T Engelke is licensed to practice in Wisconsin (license number 2999) 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 1558814764.

Contact Information

	Emily T Engelke, CD
	225 Memorial Dr, Berlin, WI 54923-1243
	(920) 361-5509
	(920) 361-5499

Map and Direction

Healthcare Provider's Profile

Full Name	Emily T Engelke
Gender	Female
Speciality	Dietitian, Registered
Location	225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558814764
Provider Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016

Medicare PECOS Information:

PECOS PAC ID: 3577859800
Enrollment ID: I20220629002430

Medical Identifiers

Medical identifiers for Emily T Engelke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558814764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2999 (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. Emily T Engelke allows following entities to bill medicare on her behalf.

Provider Name	Ilivewell Nutrition Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

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. Emily T Engelke 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
Emily T Engelke, CD Po Box 2759, Appleton, WI 54912-2759 Ph: (920) 830-5900	Emily T Engelke, CD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5509

Reviews and Comments

Dietitian, Registered in Berlin, WI

Mrs. Kathleen Lynch, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5509 Fax: 920-361-5517
Michelle A Jensen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 Fax: 920-361-5979
Mrs. Danielle Lynn Krueger, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5509
Michelle Clauson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5509
Kathleen J Legare, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5509
Richelle C Morrow, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5509

Emily T Engelke, CD - Medicare Dietitian in Berlin, WI