Emily Marie Weiss, RN, APNP is a medicare enrolled "Nurse Practitioner - Family" in Mazomanie, Wisconsin. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sauk Prairie Healthcare Inc and her current practice location is
506 Crocker St Ste 3, Mazomanie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 795-4110.
Emily Marie Weiss is licensed to practice in Wisconsin (license number 4496-33) 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 1336428200.
Provider's Profile
| Full Name | Emily Marie Weiss |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 506 Crocker St Ste 3, Mazomanie, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emily Marie Weiss graduated from nursing school in 2011
NPI Data:
- NPI Number: 1336428200
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820268964
- Enrollment ID: I20110830000079
Medical Identifiers
Medical identifiers for Emily Marie Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336428200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 4496-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sauk Prairie Healthcare Inc | 8224948054 | 81 |
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. Emily Marie Weiss allows following entities to bill medicare on her behalf.
| Entity Name | Sauk Prairie Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206 |
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| Entity Name | Divine Savior Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909 |
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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. Emily Marie Weiss 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 |
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Emily Marie Weiss, RN, APNP
Po Box 160,
Prairie Du Sac, WI 53578-0160
Ph: (608) 643-3311 | Emily Marie Weiss, RN, APNP
506 Crocker St Ste 3,
Mazomanie, WI 53560-9426
Ph: (608) 795-4110 |
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