Mary Kay Bultman, PMHNP in Milwaukee, WI - Medicare Nurse Practitioner

Mary Kay Bultman, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Milwaukee, Wisconsin. Her current practice location is 1020 N 12th St Fl 4, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 219-2000.

Mary Kay Bultman is licensed to practice in Wisconsin (license number 60996-30) 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 1639627110.

Contact Information

	Mary Kay Bultman, PMHNP
	1020 N 12th St Fl 4, Milwaukee, WI 53233-1308
	(414) 219-2000
	(414) 219-7402

Map and Direction

Provider's Profile

Full Name	Mary Kay Bultman
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1020 N 12th St Fl 4, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639627110
Provider Enumeration Date: 09/14/2016
Last Update Date: 03/06/2020

Medicare PECOS Information:

PECOS PAC ID: 4486934668
Enrollment ID: I20161205001423

Medical Identifiers

Medical identifiers for Mary Kay Bultman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639627110	NPI	-	NPPES
100062610	Medicaid	WI
100080285	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	60996-30 (Wisconsin)	Primary
363L00000X	Nurse Practitioner	7252 (Wisconsin)	Secondary

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. Mary Kay Bultman allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659466209 PECOS PAC ID: 6608828819 Enrollment ID: O20050216000423

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. Mary Kay Bultman 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
Mary Kay Bultman, PMHNP 1020 N 12th St Fl 4, Milwaukee, WI 53233-1308 Ph: (414) 219-2000	Mary Kay Bultman, PMHNP 1020 N 12th St Fl 4, Milwaukee, WI 53233-1308 Ph: (414) 219-2000

Reviews and Comments

Nurse Practitioner Nurses in Milwaukee, WI

Ms. Leslie L. Talbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226 Phone: 414-266-3360 Fax: 414-266-3563
Andrienne M Delaney, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10701 W Research Dr, Milwaukee, WI 53226 Phone: 262-366-2903 Fax: 888-288-4890
Mrs. Karen Elizabeth Mcnerney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 N Rivercenter Dr Ste 206, Milwaukee, WI 53212 Phone: 414-231-1180 Fax: 414-272-5617
Mrs. Anne E B Lakatos, APN-BC, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Internal Medicine, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6851
Mrs. Amanda M Manders, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6864
Tracy L Kersten, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-4600 Fax: 414-805-6808
Ms. Michelle Seavers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000

Mary Kay Bultman, PMHNP - Medicare Nurse Practitioner in Milwaukee, WI