Marissa Lynch, is a
Nurse Practitioner based in Fennimore, Wisconsin. Marissa Lynch is licensed to practice in Wisconsin (license number 14351) and her current practice location is
770 Lincoln Ave Ste 5, Fennimore, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 485-1352.
NPI number for Marissa Lynch is 1790460632 and her current mailing address is 2593 County Road M Apt Suite, Boscobel, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790460632.
Provider's Profile
Full Name | Marissa Lynch |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 770 Lincoln Ave Ste 5, Fennimore, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790460632
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 09/05/2023
Medical Identifiers
Medical identifiers for Marissa Lynch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790460632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 14351 (Wisconsin) | Primary |
363L00000X | Nurse Practitioner | A174764 (Iowa) | Secondary |
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. Marissa Lynch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marissa Lynch, 2593 County Road M Apt Suite, Boscobel, WI 53805-9517 Ph: (608) 485-1352 | Marissa Lynch, 770 Lincoln Ave Ste 5, Fennimore, WI 53809-1563 Ph: (608) 485-1352 |
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