Keli Syse, in Madison, WI - Medicare Nurse Practitioner

Keli Syse, is a medicare enrolled "Nurse Practitioner - Family" in Madison, Wisconsin. Her current practice location is 2500 Overlook Ter, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 280-7139.

Keli Syse is licensed to practice in Wisconsin (license number 9402-33) 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 1669033148.

Contact Information

	Keli Syse,
	2500 Overlook Ter, Madison, WI 53705-2254
	(608) 280-7139
	Not Available

Map and Direction

Provider's Profile

Full Name	Keli Syse
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 Overlook Ter, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669033148
Provider Enumeration Date: 06/25/2019
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 7719213719
Enrollment ID: I20190730000444

Medical Identifiers

Medical identifiers for Keli Syse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669033148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9402-33 (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. Keli Syse allows following entities to bill medicare on her behalf.

Entity Name	The Monroe Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392

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. Keli Syse 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
Keli Syse, 2500 Overlook Ter # 112, Madison, WI 53705-2254 Ph: () -	Keli Syse, 2500 Overlook Ter, Madison, WI 53705-2254 Ph: (608) 280-7139

Reviews and Comments

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Keli Syse, - Medicare Nurse Practitioner in Madison, WI