Joline Brotzman, MS, RN, PMHCNS-BC in Fond Du Lac, WI

Joline Brotzman, MS, RN, PMHCNS-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fond Du Lac, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fond Du Lac County and her current practice location is 459 E 1st St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 922-3324.

Joline Brotzman is licensed to practice in Wisconsin (license number 5048-33) 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 1578813606.

Contact Information

	Joline Brotzman, MS, RN, PMHCNS-BC
	459 E 1st St, Fond Du Lac, WI 54935-4505
	(920) 922-3324
	(920) 929-3129

Map and Direction

Provider's Profile

Full Name	Joline Brotzman
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	459 E 1st St, Fond Du Lac, 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:

Joline Brotzman graduated from nursing school in 2012

NPI Data:

NPI Number: 1578813606
Provider Enumeration Date: 09/17/2012
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3577714765
Enrollment ID: I20121116000243

Medical Identifiers

Medical identifiers for Joline Brotzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578813606	NPI	-	NPPES
100084008	Medicaid	WI
100026161	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5048-33 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5048-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waukesha Memorial Hospital	Waukesha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fond Du Lac County	2668376245	10

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. Joline Brotzman allows following entities to bill medicare on her behalf.

Entity Name	Fond Du Lac County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053458935 PECOS PAC ID: 2668376245 Enrollment ID: O20031125000279

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. Joline Brotzman 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
Joline Brotzman, MS, RN, PMHCNS-BC 298 E 1st St, Fond Du Lac, WI 54935-4357 Ph: (920) 315-3922	Joline Brotzman, MS, RN, PMHCNS-BC 459 E 1st St, Fond Du Lac, WI 54935-4505 Ph: (920) 922-3324

Reviews and Comments

Nurse Practitioner Nurses in Fond Du Lac, WI

Jeanette Roehl, APNP FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Mary R Kelm, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8230
Michelle Kehrmeyer, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 209-926-4197 Fax: 920-926-4197
Jessica L Habeck, DNP, APNP, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5020
Mrs. Jennifer Nicole Stephany, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200 Fax: 920-926-8907
Theresa J Baseley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7012
Tammy Rae Karls, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8495

Joline Brotzman, MS, RN, PMHCNS-BC - Medicare Nurse Practitioner in Fond Du Lac, WI