Elizabeth Sue Dickenson, FNP-BC - Medicare Nurse Practitioner in Appleton, WI

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Elizabeth Sue Dickenson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. 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) 830-6877.

Elizabeth Sue Dickenson is licensed to practice in Wisconsin (license number 13965-33) 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 1962193508.

Contact Information

Elizabeth Sue Dickenson, FNP-BC
3925 N Gateway Dr,
Appleton, WI 54913-7863
(920) 830-6877
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Sue Dickenson
GenderFemale
SpecialityNurse Practitioner - Family
Location3925 N Gateway Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962193508
  • Provider Enumeration Date: 05/16/2023
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496114746
  • Enrollment ID: I20230705000200

Medical Identifiers

Medical identifiers for Elizabeth Sue Dickenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962193508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13965-33 (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. Elizabeth Sue Dickenson allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117

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. Elizabeth Sue Dickenson 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 AddressPractice Location Address
Elizabeth Sue Dickenson, FNP-BC
324 S Matthias St,
Appleton, WI 54915-3218

Ph: (920) 850-9103		Elizabeth Sue Dickenson, FNP-BC
3925 N Gateway Dr,
Appleton, WI 54913-7863

Ph: (920) 830-6877

Reviews and Comments


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Ann M Hefter, AGACNP-BC, MSN, BSN
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Lisa Valiquette, NP
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Kimberly A Romenesko, APNP
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Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
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Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.