Mrs Melissajo Truckenbrod, APNP is a medicare enrolled "Nurse Practitioner - Family" physician in Milwaukee, Wisconsin. Her current practice location is
2311 N Prospect Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 319-3000.
Mrs Melissajo Truckenbrod is licensed to practice in Wisconsin (license number 14583-33) 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 1922873850.
Physician's Profile
Full Name | Mrs Melissajo Truckenbrod |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 2311 N Prospect Ave, Milwaukee, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922873850
- Provider Enumeration Date: 11/21/2023
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476905183
- Enrollment ID: I20240118001767
Medical Identifiers
Medical identifiers for Mrs Melissajo Truckenbrod such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922873850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14583-33 (Wisconsin) | Secondary |
207QA0000X | Family Medicine - Adolescent Medicine | 14583-33 (Wisconsin) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | 14583-33 (Wisconsin) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 14583-33 (Wisconsin) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 14583-33 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14583-33 (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. Mrs Melissajo Truckenbrod allows following entities to bill medicare on her behalf.
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
---|
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. Mrs Melissajo Truckenbrod 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 |
Mrs Melissajo Truckenbrod, APNP 2311 N Prospect Ave, Milwaukee, WI 53211-4445 Ph: (414) 391-3000 | Mrs Melissajo Truckenbrod, APNP 2311 N Prospect Ave, Milwaukee, WI 53211-4445 Ph: (414) 319-3000 |
Reviews and Comments