Miss Kelly M Wisch, NP in Waunakee, WI - Medicare Nurse Practitioner

Miss Kelly M Wisch, NP is a medicare enrolled "Nurse Practitioner" in Waunakee, Wisconsin. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dean Health Systems Inc and her current practice location is 1300 S Century Ave, Waunakee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 849-4315.

Miss Kelly M Wisch is licensed to practice in Wisconsin (license number 2345-033) 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 1376592543.

Contact Information

	Miss Kelly M Wisch, NP
	1300 S Century Ave, Waunakee, WI 53597-2386
	(608) 849-4315
	(608) 850-1606

Map and Direction

Provider's Profile

Full Name	Miss Kelly M Wisch
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	1300 S Century Ave, Waunakee, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Kelly M Wisch graduated from nursing school in 2003

NPI Data:

NPI Number: 1376592543
Provider Enumeration Date: 05/08/2006
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9537067277
Enrollment ID: I20031219000733

Medical Identifiers

Medical identifiers for Miss Kelly M Wisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376592543	NPI	-	NPPES
1376592543	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2345-033 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Home Health United Hospice	Baraboo, WI	Hospice
Ssm Health St Mary's Hospital - Madison	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dean Health Systems Inc	7012827983	1054

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. Miss Kelly M Wisch 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. Miss Kelly M Wisch 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
Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315	Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315

Reviews and Comments

Nurse Practitioner Nurses in Waunakee, WI

Dr. Erin Elizabeth Macmillan, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 Dartmouth Dr, Waunakee, WI 53597 Phone: 608-850-9419
Carly Dassow, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606
Suzanne J Dynneson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606
Cory Sieburg, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Victor Ln, Waunakee, WI 53597 Phone: 608-393-2685
Christine M Disch, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606
Teresa C Patwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606

Miss Kelly M Wisch, NP - Medicare Nurse Practitioner in Waunakee, WI