Colleen Kelly Del Fava, APNP in Brown Deer, WI

Colleen Kelly Del Fava, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brown Deer, Wisconsin. Her current practice location is 4555 W Schroeder Dr, Brown Deer, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 355-9000.

Colleen Kelly Del Fava is licensed to practice in Wisconsin (license number 13528) 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 1740994292.

Contact Information

	Colleen Kelly Del Fava, APNP
	4555 W Schroeder Dr, Brown Deer, WI 53223-1475
	(414) 355-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Colleen Kelly Del Fava
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4555 W Schroeder Dr, Brown Deer, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740994292
Provider Enumeration Date: 01/10/2023
Last Update Date: 03/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1456724772
Enrollment ID: I20230307000657

Medical Identifiers

Medical identifiers for Colleen Kelly Del Fava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740994292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	174832-030 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	13528 (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. Colleen Kelly Del Fava allows following entities to bill medicare on her behalf.

Entity Name	Rogers Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371

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. Colleen Kelly Del Fava 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
Colleen Kelly Del Fava, APNP 34700 Valley Rd, Oconomowoc, WI 53066-4500 Ph: (262) 646-4411	Colleen Kelly Del Fava, APNP 4555 W Schroeder Dr, Brown Deer, WI 53223-1475 Ph: (414) 355-9000

Reviews and Comments

Nurse Practitioner Nurses in Brown Deer, WI

Mrs. Barbara Ann Brown, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5233 W Churchill Ln, Brown Deer, WI 53223 Phone: 414-365-5619
Tonesha Nicole Walker, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4422 W Deer Run Dr Apt 103, Brown Deer, WI 53223 Phone: 414-243-0003
Dr. Rosalyn Lakey Mcfarland, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5050 W Brown Deer Rd, Brown Deer, WI 53223 Phone: 414-367-6014 Fax: 414-433-1852
Elise Coury Mossallati, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9233 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-270-8150 Fax: 414-270-8160
Mr. Nate Sullivan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9252 N Green Bay Rd, Brown Deer, WI 53209 Phone: 414-527-7500

Colleen Kelly Del Fava, APNP - Medicare Nurse Practitioner in Brown Deer, WI