Melodie Defouw, APNP in Watertown, WI - Medicare Nurse Practitioner

Melodie Defouw, APNP is a medicare enrolled "Nurse Practitioner - Family" in Watertown, Wisconsin. Her current practice location is 127 Hospital Dr, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 261-8500.

Melodie Defouw is licensed to practice in Wisconsin (license number 865233) 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 1881164481.

Contact Information

	Melodie Defouw, APNP
	127 Hospital Dr, Watertown, WI 53098-3303
	(920) 261-8500
	(920) 261-8828

Map and Direction

Provider's Profile

Full Name	Melodie Defouw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	127 Hospital Dr, Watertown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881164481
Provider Enumeration Date: 11/27/2018
Last Update Date: 11/27/2018

Medicare PECOS Information:

PECOS PAC ID: 3779824107
Enrollment ID: I20190411000551

Medical Identifiers

Medical identifiers for Melodie Defouw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881164481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	865233 (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. Melodie Defouw allows following entities to bill medicare on her behalf.

Entity Name	Watertown Family Practice Associates, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811064942 PECOS PAC ID: 4183608037 Enrollment ID: O20040617000150

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. Melodie Defouw 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
Melodie Defouw, APNP 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500	Melodie Defouw, APNP 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500

Reviews and Comments

Nurse Practitioner Nurses in Watertown, WI

Mrs. Amber Kathlyn Miller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4495
Jan S Beyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6693
Jeannie Kaye Adams, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107
Dr. Mary K Gatzke, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W5726 County T, Watertown, WI 53094 Phone: 920-253-6582
Mrs. Jewel E Schneider, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Watertown, WI 53094 Phone: 920-262-7444
Ashley Smaglick, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500
Ms. Andrea Marie Cantwell-durand, RNC, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Dr Ste 212, Watertown, WI 53098 Phone: 920-471-4044 Fax: 833-471-4090

Melodie Defouw, APNP - Medicare Nurse Practitioner in Watertown, WI