Stephanie L Nottestad, MD is a medicare enrolled "Family Medicine" physician in Cambridge, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Fort Healthcare Inc and her current practice location is
704 Katie Ct, Cambridge, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 423-1100.
Stephanie L Nottestad is licensed to practice in Wisconsin (license number 46323-020) 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 1457360760.
Physician's Profile
Full Name | Stephanie L Nottestad |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 22 Years |
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Location | 704 Katie Ct, Cambridge, 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. |
Medical Education and Training:
- Stephanie L Nottestad attended and graduated from University Of Wisconsin School Of Medicine in 2002
NPI Data:
- NPI Number: 1457360760
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799716338
- Enrollment ID: I20050824000275
Medical Identifiers
Medical identifiers for Stephanie L Nottestad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457360760 | NPI | - | NPPES |
34677000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 46323-020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fort Healthcare Inc | 0840189718 | 122 |
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. Stephanie L Nottestad allows following entities to bill medicare on her behalf.
Entity Name | Fort Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
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Entity Name | Rock River Community Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184220659 PECOS PAC ID: 3971906983 Enrollment ID: O20210728003728 |
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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. Stephanie L Nottestad 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 |
Stephanie L Nottestad, MD 704 Katie Ct, Cambridge, WI 53523-9308 Ph: (608) 423-1100 | Stephanie L Nottestad, MD 704 Katie Ct, Cambridge, WI 53523-9308 Ph: (608) 423-1100 |
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