Mary J Dalzell, NP - Medicare Nurse Practitioner in Fond Du Lac, WI

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Mary J Dalzell, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fond Du Lac, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-8230.

Mary J Dalzell is licensed to practice in Wisconsin (license number 5008) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942552658.

Contact Information

Mary J Dalzell, NP
420 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-8230
(920) 926-8997

Map and Direction




Provider's Profile

Full NameMary J Dalzell
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location420 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary J Dalzell graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1942552658
  • Provider Enumeration Date: 10/04/2012
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214180306
  • Enrollment ID: I20130124000243

Medical Identifiers

Medical identifiers for Mary J Dalzell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942552658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 5008 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital
Waupun Memorial HospitalWaupun, WIHospital
Ripon Medical CenterRipon, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624335

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 J Dalzell allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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 J Dalzell 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
Mary J Dalzell, NP
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8230		Mary J Dalzell, NP
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8230

Reviews and Comments


Nurse Practitioner Nurses in Fond Du Lac, WI

Jeanette Roehl, APNP FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    
Mary R Kelm, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8230    
Michelle Kehrmeyer, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 209-926-4197    Fax: 920-926-4197
Jessica L Habeck, DNP, APNP, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-5020    
Mrs. Jennifer Nicole Stephany, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    Fax: 920-926-8907
Theresa J Baseley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    Fax: 920-907-7012
Tammy Rae Karls, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8495    

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.