Mrs Betsy J Wacker, PAC is a medicare enrolled "Physician Assistant" in Stanley, Wisconsin. Her current practice location is
1120 Pine St, Stanley, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 644-5530.
Mrs Betsy J Wacker is licensed to practice in Wisconsin (license number 1206) 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 1790870079.
Provider's Profile
Full Name | Mrs Betsy J Wacker |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1120 Pine St, Stanley, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790870079
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 06/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 0345321865
- Enrollment ID: I20080122000586
Medical Identifiers
Medical identifiers for Mrs Betsy J Wacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790870079 | NPI | - | NPPES |
42989100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1206 (Wisconsin) | Primary |
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. Mrs Betsy J Wacker 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 |
Mrs Betsy J Wacker, PAC 1120 Pine St, Stanley, WI 54768-1297 Ph: (715) 644-5530 | Mrs Betsy J Wacker, PAC 1120 Pine St, Stanley, WI 54768-1297 Ph: (715) 644-5530 |
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