Wendy Broekema, MS, RDN in Madison, WI - Medicare Dietitian, Registered Provider

Wendy Broekema, MS, RDN is a medicare enrolled "Dietitian, Registered" provider in Madison, Wisconsin. Her current practice location is 4602 Eastpark Blvd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 263-1530.

Wendy Broekema is licensed to practice in Wisconsin (license number 3313) 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 1538542733.

Contact Information

	Wendy Broekema, MS, RDN
	4602 Eastpark Blvd, Madison, WI 53718-2002
	(608) 263-1530
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wendy Broekema
Gender	Female
Speciality	Dietitian, Registered
Location	4602 Eastpark Blvd, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538542733
Provider Enumeration Date: 07/07/2015
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 4385057603
Enrollment ID: I20210106000523

Medical Identifiers

Medical identifiers for Wendy Broekema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538542733	NPI	-	NPPES
3313	Other	WI	CERTIFIED DIETITIAN
1002101	Other		COMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	Secondary
174H00000X	Health Educator	146635 (Wisconsin)	Secondary
133V00000X	Dietitian, Registered	3313 (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. Wendy Broekema allows following entities to bill medicare on her behalf.

Provider Name	University Of Wisconsin Medical Foundation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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. Wendy Broekema 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
Wendy Broekema, MS, RDN 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Wendy Broekema, MS, RDN 4602 Eastpark Blvd, Madison, WI 53718-2002 Ph: (608) 263-1530

Reviews and Comments

Dietitian, Registered in Madison, WI

Ms. Lauren Begnel, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1310 Mendota St Ste 119, Madison, WI 53714 Phone: 608-747-7878
Mariana Gandolfo Bustamante, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 Science Dr, Madison, WI 53711 Phone: 608-265-8303
Innovative Nutrition Solutions, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Donofrio Dr, Suite 120, Madison, WI 53719 Phone: 608-836-3473 Fax: 608-831-5319
Mrs. Karyn Evelyn Moehring, MA, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Schroeder Ct, Suite 230, Madison, WI 53711 Phone: 608-467-3473 Fax: 608-831-5319
Ann Marie Mader, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544
Ann M Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544
Rachael Shangraw, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 309-242-5548

Wendy Broekema, MS, RDN - Medicare Dietitian in Madison, WI