Ms Tracy M Roesch, is a medicare enrolled "Dietitian, Registered" provider in Lancaster, Wisconsin. Her current practice location is
507 S Monroe St, Lancaster, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 723-3262.
Ms Tracy M Roesch is licensed to practice in Wisconsin (license number 64-029) 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 1033117569.
Healthcare Provider's Profile
| Full Name | Ms Tracy M Roesch |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 507 S Monroe St, Lancaster, 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: 1033117569
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840501722
- Enrollment ID: I20150618001716
Medical Identifiers
Medical identifiers for Ms Tracy M Roesch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033117569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 64-029 (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. Ms Tracy M Roesch allows following entities to bill medicare on her behalf.
| Provider Name | Grant Regional Health Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255339867
PECOS PAC ID: 9638079445
Enrollment ID: O20040109000282 |
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| Provider Name | Grant Regional Health Center Inc |
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| Provider Type | Part A Provider - Critical Access Hospital |
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| Provider Identifiers | NPI Number: 1255339867
PECOS PAC ID: 9638079445
Enrollment ID: O20120105000860 |
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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. Ms Tracy M Roesch 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 |
|---|
Ms Tracy M Roesch,
507 S Monroe St,
Lancaster, WI 53813-2099
Ph: (608) 723-2143 | Ms Tracy M Roesch,
507 S Monroe St,
Lancaster, WI 53813-2054
Ph: (608) 723-3262 |
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