Laura Jane Mamerow, RD in Oconomowoc, WI - Medicare Dietitian, Registered Provider

Laura Jane Mamerow, RD is a medicare enrolled "Dietitian, Registered" provider in Oconomowoc, Wisconsin. Her current practice location is W2312 W Schure Dr, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 470-7374.

Laura Jane Mamerow is licensed to practice in Wisconsin (license number 1064986) 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 1073021820.

Contact Information

	Laura Jane Mamerow, RD
	W2312 W Schure Dr, Oconomowoc, WI 53066-9322
	(920) 470-7374
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Jane Mamerow
Gender	Female
Speciality	Dietitian, Registered
Location	W2312 W Schure Dr, Oconomowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073021820
Provider Enumeration Date: 01/15/2018
Last Update Date: 04/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6103235916
Enrollment ID: I20240110005107

Medical Identifiers

Medical identifiers for Laura Jane Mamerow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073021820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1064986 (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. Laura Jane Mamerow allows following entities to bill medicare on her behalf.

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. Laura Jane Mamerow 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
Laura Jane Mamerow, RD 901 S Whitney Way, Madison, WI 53711-2553 Ph: () -	Laura Jane Mamerow, RD W2312 W Schure Dr, Oconomowoc, WI 53066-9322 Ph: (920) 470-7374

Reviews and Comments

Dietitian, Registered in Oconomowoc, WI

Margaret T Burns, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1148 Majestic View Ln, Oconomowoc, WI 53066 Phone: 262-567-2042
Wholesome Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 820 Thackeray Trl, Oconomowoc, WI 53066 Phone: 414-339-6125
Elizabeth Kasparek, MS, RD, CSSD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0297
Sharon Wittman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300
Christina Lee Lindmark, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: W341n7040 Northern Lights Dr, Oconomowoc, WI 53066 Phone: 262-361-2194
Tricia Helwig, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W352n5781 Nelson Rd, Oconomowoc, WI 53066 Phone: 608-770-4599

Laura Jane Mamerow, RD - Medicare Dietitian in Oconomowoc, WI