Daisy A Boehm, NP in Appleton, WI - Medicare Nurse Practitioner

Daisy A Boehm, NP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thedacare, Incorporated and her current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 749-1171.

Daisy A Boehm is licensed to practice in Wisconsin (license number 3137) 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 1194925479.

Contact Information

	Daisy A Boehm, NP
	3925 N Gateway Dr, Appleton, WI 54913-7863
	(920) 749-1171
	Not Available

Map and Direction

Provider's Profile

Full Name	Daisy A Boehm
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	3925 N Gateway Dr, Appleton, Wisconsin
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:

Daisy A Boehm attended and graduated from University Of Wisconsin School Of Medicine in 2007

NPI Data:

NPI Number: 1194925479
Provider Enumeration Date: 07/24/2007
Last Update Date: 06/22/2016

Medicare PECOS Information:

PECOS PAC ID: 0840385399
Enrollment ID: I20070928000556

Medical Identifiers

Medical identifiers for Daisy A Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194925479	NPI	-	NPPES
1194925479	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3137 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital
Thedacare Medical Center-waupaca	Waupaca, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare, Incorporated	1759294887	509

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. Daisy A Boehm allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Fox Valley Hematology & Oncology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407868334 PECOS PAC ID: 6901709633 Enrollment ID: O20040130000043

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. Daisy A Boehm 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
Daisy A Boehm, NP 3232 N Ballard Rd, Appleton, WI 54911-8804 Ph: (920) 749-9668	Daisy A Boehm, NP 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 749-1171

Reviews and Comments

Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900
Dessia J Laxton, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-738-5369
Katie Geiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913 Phone: 920-886-9380
Ingrid K Simpson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-831-1867
Lisa Valiquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-738-4600 Fax: 920-738-4792
Kimberly A Romenesko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645 Fax: 920-735-7618
Steven R Hamel, APN FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877

Daisy A Boehm, NP - Medicare Nurse Practitioner in Appleton, WI