Laura B Pethan, APNP - Medicare Nurse Practitioner in Sun Prairie, WI

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Laura B Pethan, APNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Sun Prairie, Wisconsin. Her current practice location is 10 Tower Dr, Sun Prairie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 825-3008.

Laura B Pethan is licensed to practice in Wisconsin (license number 7462-33) 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 1194122861.

Contact Information

Laura B Pethan, APNP
10 Tower Dr,
Sun Prairie, WI 53590-1239
(608) 825-3008
(608) 825-3786

Map and Direction




Provider's Profile

Full NameLaura B Pethan
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location10 Tower Dr, Sun Prairie, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194122861
  • Provider Enumeration Date: 11/25/2014
  • Last Update Date: 04/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608199526
  • Enrollment ID: I20170222002261

Medical Identifiers

Medical identifiers for Laura B Pethan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194122861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 7462-33 (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. Laura B Pethan allows following entities to bill medicare on her behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089

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. Laura B Pethan 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
Laura B Pethan, APNP
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7222		Laura B Pethan, APNP
10 Tower Dr,
Sun Prairie, WI 53590-1239

Ph: (608) 825-3008

Reviews and Comments


Nurse Practitioner Nurses in Sun Prairie, WI

Rochelle Allexia Codlyn, MBA,MSN, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2268 Manley Dr, Sun Prairie, WI 53590
Phone: 608-286-4641    
Stephanie M Stenseth, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Tower Dr, Sun Prairie, WI 53590
Phone: 608-825-3008    Fax: 608-825-3786
Carol Jan Morris, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Tower Dr, Sun Prairie, WI 53590
Phone: 608-825-3500    Fax: 608-825-3786
Bailey Elizabeth Higby, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 650 Spring St Unit 5106, Sun Prairie, WI 53590
Phone: 563-726-3383    
Mrs. Hilary Jahnke, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 Tower Dr, Sun Prairie, WI 53590
Phone: 603-250-3008    
Dr. Anna Rae Kitowicz, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 160 Columbus St, Sun Prairie, WI 53590
Phone: 608-577-9062    

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.