Katie Johannah Livingston, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Marinette, Wisconsin. Her current practice location is
3003 University Dr, Marinette, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 735-8015.
Katie Johannah Livingston is licensed to practice in Wisconsin (license number 70902) 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 1861924482.
Physician's Profile
Full Name | Katie Johannah Livingston |
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Gender | Female |
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Speciality | Radiology - Radiation Oncology |
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Location | 3003 University Dr, Marinette, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861924482
- Provider Enumeration Date: 04/02/2017
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800124629
- Enrollment ID: I20220718001247
Medical Identifiers
Medical identifiers for Katie Johannah Livingston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861924482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 70902 (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. Katie Johannah Livingston allows following entities to bill medicare on her behalf.
Entity Name | Radiation Oncology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932154754 PECOS PAC ID: 7618924622 Enrollment ID: O20050401000480 |
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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. Katie Johannah Livingston 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 |
Katie Johannah Livingston, MD 11516 N Port Washington Rd Ste 107, Mequon, WI 53092-3478 Ph: (262) 241-5040 | Katie Johannah Livingston, MD 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-8015 |
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