Amy J Connolly, NP in Greenfield, WI - Medicare Nurse Practitioner

Amy J Connolly, NP is a medicare enrolled "Nurse Practitioner" in Greenfield, Wisconsin. Her current practice location is 6901 W Edgerton Ave, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 325-5244.

Amy J Connolly is licensed to practice in Wisconsin (license number 13188-033) 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 1841909504.

Contact Information

	Amy J Connolly, NP
	6901 W Edgerton Ave, Greenfield, WI 53220-4420
	(414) 325-5244
	(414) 421-3772

Map and Direction

Provider's Profile

Full Name	Amy J Connolly
Gender	Female
Speciality	Nurse Practitioner
Location	6901 W Edgerton Ave, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841909504
Provider Enumeration Date: 11/21/2022
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7012386014
Enrollment ID: I20221214001713

Medical Identifiers

Medical identifiers for Amy J Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841909504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13188-033 (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. Amy J Connolly allows following entities to bill medicare on her behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Amy J Connolly 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
Amy J Connolly, NP 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244	Amy J Connolly, NP 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244

Reviews and Comments

Nurse Practitioner Nurses in Greenfield, WI

Lauren D Stieber, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Susan L Hafemann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-762-4225
Kinjal Parekh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 414-231-3130
Anna E Seckar-anderson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Jane A Kunst, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770
Ms. Ana M Sanchez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Ms. Heidi R Hochhausen, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770

Amy J Connolly, NP - Medicare Nurse Practitioner in Greenfield, WI