Lenore K Wespetal, CD is a medicare enrolled "Dietitian, Registered" provider in Shawano, Wisconsin. Her current practice location is
100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 524-2161.
Lenore K Wespetal is licensed to practice in Wisconsin (license number 574) 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 1467892075.
Healthcare Provider's Profile
| Full Name | Lenore K Wespetal |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 100 County Road B, Shawano, 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: 1467892075
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 06/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 0749201697
- Enrollment ID: I20051207000885
Medical Identifiers
Medical identifiers for Lenore K Wespetal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467892075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 574 (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. Lenore K Wespetal allows following entities to bill medicare on her behalf.
| Provider Name | Thedacare, Incorporated |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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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. Lenore K Wespetal 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 |
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Lenore K Wespetal, CD
Po Box 8003,
Appleton, WI 54912-8003
Ph: (920) 996-3200 | Lenore K Wespetal, CD
100 County Road B,
Shawano, WI 54166-7072
Ph: (715) 524-2161 |
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