Dr Janice A Litza, MD is a medicare enrolled "Family Medicine" physician in Sturtevant, Wisconsin. Her current practice location is
10340 Washington Ave, Sturtevant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 687-7500.
Dr Janice A Litza is licensed to practice in Wisconsin (license number 41368) 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 1669422093.
Physician's Profile
| Full Name | Dr Janice A Litza |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 10340 Washington Ave, Sturtevant, 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: 1669422093
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 09/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 0345139689
- Enrollment ID: I20040313000432
Medical Identifiers
Medical identifiers for Dr Janice A Litza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669422093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 41368 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | 036-116704 (Illinois) | Secondary |
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. Dr Janice A Litza allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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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. Dr Janice A Litza 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 |
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Dr Janice A Litza, MD
10340 Washington Ave,
Sturtevant, WI 53177-1607
Ph: (262) 687-7500 | Dr Janice A Litza, MD
10340 Washington Ave,
Sturtevant, WI 53177-1607
Ph: (262) 687-7500 |
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