Beth A Hultman, NNP in Summit, WI - Medicare Nurse Practitioner

Beth A Hultman, NNP is a medicare enrolled "Nurse Practitioner" in Summit, Wisconsin. Her current practice location is 36500 Aurora Dr, Summit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 434-5000.

Beth A Hultman is licensed to practice in Wisconsin (license number 7069) 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 1497208409.

Contact Information

	Beth A Hultman, NNP
	36500 Aurora Dr, Summit, WI 53066-4899
	(262) 434-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Beth A Hultman
Gender	Female
Speciality	Nurse Practitioner
Location	36500 Aurora Dr, Summit, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497208409
Provider Enumeration Date: 07/26/2016
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5496049488
Enrollment ID: I20160815001384

Medical Identifiers

Medical identifiers for Beth A Hultman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497208409	NPI	-	NPPES
100058821	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	7069 (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. Beth A Hultman allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

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. Beth A Hultman 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
Beth A Hultman, NNP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233	Beth A Hultman, NNP 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000

Reviews and Comments

Nurse Practitioner Nurses in Summit, WI

Mrs. Kelly S Campbell, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000
Erika Breeser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000
Jena Louise Cruciani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-343-1000
Holly A Wallace, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050
Carrie A Petersen, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000
Andrea M Lovas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050
Amy M Scott-egerbrecht, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 262-434-5950

Beth A Hultman, NNP - Medicare Nurse Practitioner in Summit, WI