Mrs Colette Wyttenbach, RD, CD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Monroe, Wisconsin. Her current practice location is
515 22nd Ave, Monroe, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 324-2770.
Mrs Colette Wyttenbach is licensed to practice in * (Not Available) (license number ) 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 1467599381.
Healthcare Provider's Profile
| Full Name | Mrs Colette Wyttenbach |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 515 22nd Ave, Monroe, 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: 1467599381
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486696267
- Enrollment ID: I20050523001190
Medical Identifiers
Medical identifiers for Mrs Colette Wyttenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467599381 | NPI | - | NPPES |
| 43490400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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 Colette Wyttenbach allows following entities to bill medicare on her behalf.
| Provider Name | The Monroe Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831254036
PECOS PAC ID: 3072425495
Enrollment ID: O20040112000130 |
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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 Colette Wyttenbach 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 Colette Wyttenbach, RD, CD, LD, CDE
3005 13th St,
Monroe, WI 53566-2247
Ph: () - | Mrs Colette Wyttenbach, RD, CD, LD, CDE
515 22nd Ave,
Monroe, WI 53566-1569
Ph: (608) 324-2770 |
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