Leticia Wandler, APNP in Waukesha, WI - Medicare Nurse Practitioner

Leticia Wandler, APNP is a medicare enrolled "Nurse Practitioner" in Waukesha, Wisconsin. Her current practice location is N17w24100 Riverwood Dr Ste 150, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 928-1000.

Leticia Wandler is licensed to practice in Wisconsin (license number 10599-33) 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 1376147397.

Contact Information

	Leticia Wandler, APNP
	N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177
	(262) 928-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Leticia Wandler
Gender	Female
Speciality	Nurse Practitioner
Location	N17w24100 Riverwood Dr Ste 150, Waukesha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376147397
Provider Enumeration Date: 11/30/2020
Last Update Date: 12/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1355756990
Enrollment ID: I20210212001555

Medical Identifiers

Medical identifiers for Leticia Wandler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376147397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10599-33 (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. Leticia Wandler allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

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. Leticia Wandler 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
Leticia Wandler, APNP N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 Ph: () -	Leticia Wandler, APNP N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 Ph: (262) 928-1000

Reviews and Comments

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Leticia Wandler, APNP - Medicare Nurse Practitioner in Waukesha, WI