Mrs Stefanie Jean Wisse, RD is a medicare enrolled "Dietitian, Registered" provider in Prosser, Washington. Her current practice location is
820 Memorial St Ste 1, Prosser, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 786-2010.
Mrs Stefanie Jean Wisse is licensed to practice in Washington (license number DI60114384) 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 1073811998.
Healthcare Provider's Profile
| Full Name | Mrs Stefanie Jean Wisse |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 820 Memorial St Ste 1, Prosser, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073811998
- Provider Enumeration Date: 03/01/2011
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820273717
- Enrollment ID: I20231218002968
Medical Identifiers
Medical identifiers for Mrs Stefanie Jean Wisse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073811998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DI60114384 (Washington) | 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 Stefanie Jean Wisse allows following entities to bill medicare on her behalf.
| Provider Name | Yakima Valley Farm Workers Clinic |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
|---|
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 Stefanie Jean Wisse 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 Stefanie Jean Wisse, RD
820 Memorial St Ste 1,
Prosser, WA 99350-2504
Ph: (509) 786-2010 | Mrs Stefanie Jean Wisse, RD
820 Memorial St Ste 1,
Prosser, WA 99350-2504
Ph: (509) 786-2010 |
Reviews and Comments