Beth Collister, MD - Medicare Family Practice in Mayville, WI

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Beth Collister, MD is a medicare enrolled "Family Medicine" physician in Mayville, Wisconsin. She went to Wayne State University School Of Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 360 S Mountin Dr, Mayville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 387-7500.

Beth Collister is licensed to practice in Wisconsin (license number 33156) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427049063.

Contact Information

Beth Collister, MD
360 S Mountin Dr,
Mayville, WI 53050-1498
(920) 387-7500
Not Available

Map and Direction




Physician's Profile

Full NameBeth Collister
GenderFemale
SpecialityFamily Practice
Experience40 Years
Location360 S Mountin Dr, Mayville, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Beth Collister attended and graduated from Wayne State University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1427049063
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951437664
  • Enrollment ID: I20100406000452

Medical Identifiers

Medical identifiers for Beth Collister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427049063NPI-NPPES
31826800MedicaidWI
080076572OtherWIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 33156 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waupun Memorial HospitalWaupun, WIHospital
St Agnes HospitalFond du lac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624335

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. Beth Collister allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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. Beth Collister 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 AddressPractice Location Address
Beth Collister, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Beth Collister, MD
360 S Mountin Dr,
Mayville, WI 53050-1498

Ph: (920) 387-7500

Reviews and Comments


Family Medicine Doctors in Mayville, WI

Kandipati Sreenivasarao, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 360 S Mountin Dr, Mayville, WI 53050
Phone: 920-387-7500    Fax: 920-387-7596
Alisha L Ketterer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 360 S Mountin Dr, Mayville, WI 53050
Phone: 920-387-7500    
Marci D. Kessen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11 S Main St, Mayville, WI 53050
Phone: 920-351-4530    Fax: 978-620-2348

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.