Mikayla Lynn Boettner, APNP in Whitewater, WI

Mikayla Lynn Boettner, APNP is a medicare enrolled "Nurse Practitioner" in Whitewater, Wisconsin. Her current practice location is 1305 W Main St, Whitewater, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 473-4548.

Mikayla Lynn Boettner is licensed to practice in Wisconsin (license number 13437) 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 1013616473.

Contact Information

	Mikayla Lynn Boettner, APNP
	1305 W Main St, Whitewater, WI 53190-1503
	(262) 473-4548
	(262) 472-7691

Map and Direction

Provider's Profile

Full Name	Mikayla Lynn Boettner
Gender	Female
Speciality	Nurse Practitioner
Location	1305 W Main St, Whitewater, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013616473
Provider Enumeration Date: 02/24/2023
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9739553611
Enrollment ID: I20230315002353

Medical Identifiers

Medical identifiers for Mikayla Lynn Boettner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013616473	NPI	-	NPPES
1013616473	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13437 (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. Mikayla Lynn Boettner allows following entities to bill medicare on her behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Mikayla Lynn Boettner 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
Mikayla Lynn Boettner, APNP 1305 W Main St, Whitewater, WI 53190-1503 Ph: (262) 473-4548	Mikayla Lynn Boettner, APNP 1305 W Main St, Whitewater, WI 53190-1503 Ph: (262) 473-4548

Reviews and Comments

Nurse Practitioner Nurses in Whitewater, WI

Laura B Carney, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Main St, Whitewater, WI 53190 Phone: 262-473-4548 Fax: 262-472-7691
Linda Lamont, APNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Uhcs, Whitewater, WI 53190 Phone: 262-472-1300
Miss Melissa Kaye Miller, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 W Starin Rd, Whitewater, WI 53190 Phone: 262-472-1300
Dr. Forrest Lee Bright, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Whitewater, WI 53190 Phone: 262-472-1300
Tiffany M Allen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Main St, Whitewater, WI 53190 Phone: 262-473-4548 Fax: 262-472-7691
Rebecca K Hamman, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 W Starin Rd, Whitewater, WI 53190 Phone: 262-472-1300

Mikayla Lynn Boettner, APNP - Medicare Nurse Practitioner in Whitewater, WI