Dr Marissa Le, MD is a medicare enrolled "Otolaryngology" physician in Elkhorn, Wisconsin. She went to Rush Medical College Of Rush University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
201 E Morrissy Dr, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 723-3100.
Dr Marissa Le is licensed to practice in Wisconsin (license number 63961) 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 1326369901.
Physician's Profile
| Full Name | Dr Marissa Le |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 14 Years |
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| Location | 201 E Morrissy Dr, Elkhorn, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Marissa Le attended and graduated from Rush Medical College Of Rush University in 2010
NPI Data:
- NPI Number: 1326369901
- Provider Enumeration Date: 06/17/2010
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870800626
- Enrollment ID: I20150911000617
Medical Identifiers
Medical identifiers for Dr Marissa Le such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326369901 | NPI | - | NPPES |
| 100047991 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 125-058062 (Illinois) | Secondary |
| 207Y00000X | Otolaryngology | 63961 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 Marissa Le allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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 Marissa Le 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 Marissa Le, MD
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Dr Marissa Le, MD
201 E Morrissy Dr,
Elkhorn, WI 53121-4395
Ph: (262) 723-3100 |
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