Ivy E Leasum, NP - Medicare Nurse Practitioner in De Pere, WI

  1. Home
  2. Nurse Practitioner
  3. WI
  4. De Pere
Ivy E Leasum, NP is a medicare enrolled "Nurse Practitioner - Family" in De Pere, Wisconsin. Her current practice location is 320 N Wisconsin St, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 327-7056.

Ivy E Leasum is licensed to practice in Wisconsin (license number 3141-33) 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 1295925824.

Contact Information

Ivy E Leasum, NP
320 N Wisconsin St,
De Pere, WI 54115-2737
(920) 327-7056
Not Available

Map and Direction




Provider's Profile

Full NameIvy E Leasum
GenderFemale
SpecialityNurse Practitioner - Family
Location320 N Wisconsin St, De Pere, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295925824
  • Provider Enumeration Date: 07/30/2007
  • Last Update Date: 04/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012000383
  • Enrollment ID: I20070831000178

Medical Identifiers

Medical identifiers for Ivy E Leasum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295925824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3141-33 (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. Ivy E Leasum allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Ivy E Leasum 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
Ivy E Leasum, NP
320 N Wisconsin St,
De Pere, WI 54115-2737

Ph: (920) 327-7056		Ivy E Leasum, NP
320 N Wisconsin St,
De Pere, WI 54115-2737

Ph: (920) 327-7056

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    
Pamela M Page, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3860 Monroe Rd, De Pere, WI 54115
Phone: 920-496-4700    

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.