David E Resen, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Omro, Wisconsin. His current practice location is
8619 Edgewater Rdg, Omro, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 376-1256.
David E Resen is licensed to practice in Wisconsin (license number 32951) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255334330.
Physician's Profile
Full Name | David E Resen |
---|
Gender | Male |
---|
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
---|
Location | 8619 Edgewater Rdg, Omro, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255334330
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 12/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 6204962087
- Enrollment ID: I20100331000538
Medical Identifiers
Medical identifiers for David E Resen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255334330 | NPI | - | NPPES |
33321900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 32951 (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. David E Resen allows following entities to bill medicare on his behalf.
Entity Name | Sober Living In Madison Llc |
---|
Entity Type | Part B Supplier - Independent Clinical Laboratory |
---|
Entity Identifiers | NPI Number: 1013633882 PECOS PAC ID: 2264898535 Enrollment ID: O20230512000639 |
---|
Entity Name | Sober Living In Madison Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1013633882 PECOS PAC ID: 2264898535 Enrollment ID: O20231020000488 |
---|
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. David E Resen 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 |
David E Resen, MD Po Box 43, Green Lake, WI 54941-0043 Ph: (920) 376-1255 | David E Resen, MD 8619 Edgewater Rdg, Omro, WI 54963-9760 Ph: (920) 376-1256 |
Reviews and Comments