Lisa Renee Thielke, APRN, CNP, PMHNP-BC in Willmar, MN

Lisa Renee Thielke, APRN, CNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Willmar, Minnesota. Her current practice location is 1708 1st St S, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 999-7750.

Lisa Renee Thielke is licensed to practice in Minnesota (license number 10088) 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 1699461095.

Contact Information

	Lisa Renee Thielke, APRN, CNP, PMHNP-BC
	1708 1st St S, Willmar, MN 56201-4228
	(218) 999-7750
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Renee Thielke
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1708 1st St S, Willmar, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699461095
Provider Enumeration Date: 04/18/2023
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7315304284
Enrollment ID: I20230608000275

Medical Identifiers

Medical identifiers for Lisa Renee Thielke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699461095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10088 (Minnesota)	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. Lisa Renee Thielke allows following entities to bill medicare on her behalf.

Entity Name	Modern Mojo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902344591 PECOS PAC ID: 1456621457 Enrollment ID: O20170725000993

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. Lisa Renee Thielke 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
Lisa Renee Thielke, APRN, CNP, PMHNP-BC 28 Nw 4th St Ste A, Grand Rapids, MN 55744-2714 Ph: (218) 999-7750	Lisa Renee Thielke, APRN, CNP, PMHNP-BC 1708 1st St S, Willmar, MN 56201-4228 Ph: (218) 999-7750

Reviews and Comments

Nurse Practitioner Nurses in Willmar, MN

Lucy R Brink, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602
Janaya Jean Marie Evenson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4399
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067
Ms. Daniele J Welvaert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 19th Ave Sw, Willmar, MN 56201 Phone: 320-214-1100 Fax: 320-214-1155
Mary Jane Young, RN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 Fax: 320-231-5067

Lisa Renee Thielke, APRN, CNP, PMHNP-BC - Medicare Nurse Practitioner in Willmar, MN