Mary E Nordstrom, MD in Appleton, WI

Mary E Nordstrom, MD is a medicare enrolled "Pediatrics" physician in Appleton, Wisconsin. Her current practice location is 1506 S Oneida St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 730-4950.

Mary E Nordstrom is licensed to practice in Wisconsin (license number 34548) 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 1578558391.

Contact Information

	Mary E Nordstrom, MD
	1506 S Oneida St, Appleton, WI 54915-1305
	(920) 730-4950
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary E Nordstrom
Gender	Female
Speciality	Pediatrics
Location	1506 S Oneida St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578558391
Provider Enumeration Date: 09/19/2005
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7214118892
Enrollment ID: I20110302000577

Medical Identifiers

Medical identifiers for Mary E Nordstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578558391	NPI	-	NPPES
32129000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34548 (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. Mary E Nordstrom allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

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. Mary E Nordstrom 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
Mary E Nordstrom, MD 1506 S Oneida St, Appleton, WI 54915-1305 Ph: (920) 730-4950	Mary E Nordstrom, MD 1506 S Oneida St, Appleton, WI 54915-1305 Ph: (920) 730-4950

Reviews and Comments

Pediatrics Doctors in Appleton, WI

Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551
Patricia M Callahan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-831-5050
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551

Mary E Nordstrom, MD - Medicare Pediatrics in Appleton, WI