Dr Brianna Klotz, DNP, APNP, FNP-BC in De Pere, WI

Dr Brianna Klotz, DNP, APNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in De Pere, Wisconsin. Her current practice location is 1716 Lawrence Dr Ste 100, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 605-3115.

Dr Brianna Klotz is licensed to practice in Wisconsin (license number 9325-33) 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 1851954267.

Contact Information

	Dr Brianna Klotz, DNP, APNP, FNP-BC
	1716 Lawrence Dr Ste 100, De Pere, WI 54115-9108
	(920) 605-3115
	(920) 486-6826

Map and Direction

Provider's Profile

Full Name	Dr Brianna Klotz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1716 Lawrence Dr Ste 100, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851954267
Provider Enumeration Date: 04/22/2019
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6204163942
Enrollment ID: I20190803000096

Medical Identifiers

Medical identifiers for Dr Brianna Klotz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851954267	NPI	-	NPPES
100091329	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	168292-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	9325-33 (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. Dr Brianna Klotz allows following entities to bill medicare on her behalf.

Entity Name	St Gianna Molla Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104426477 PECOS PAC ID: 2163836339 Enrollment ID: O20210129000133

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. Dr Brianna Klotz 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
Dr Brianna Klotz, DNP, APNP, FNP-BC 1716 Lawrence Dr Ste 100, De Pere, WI 54115-9108 Ph: (920) 605-3115	Dr Brianna Klotz, DNP, APNP, FNP-BC 1716 Lawrence Dr Ste 100, De Pere, WI 54115-9108 Ph: (920) 605-3115

Reviews and Comments

Nurse Practitioner Nurses in De Pere, WI

Margaret M Brochocki, APNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-0129
Melissa Lynn Jilot, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 Fax: 920-433-6009
Paul Antonissen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3957 Garrett St, De Pere, WI 54115 Phone: 920-471-3729
Aspen Marie Jump, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855
Rachel Ann Mcgill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Winding Waters Way, De Pere, WI 54115 Phone: 920-621-6703
Ivy E Leasum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Wisconsin St, De Pere, WI 54115 Phone: 920-327-7056
Pamela M Page, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700

Dr Brianna Klotz, DNP, APNP, FNP-BC - Medicare Nurse Practitioner in De Pere, WI