Mrs Marina Deatherage, in Lake Geneva, WI - Medicare Nurse Practitioner

Mrs Marina Deatherage, is a medicare enrolled "Nurse Practitioner" in Lake Geneva, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 146 E Geneva Sq, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 249-4660.

Mrs Marina Deatherage is licensed to practice in Wisconsin (license number 10857-033) 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 1538706858.

Contact Information

	Mrs Marina Deatherage,
	146 E Geneva Sq, Lake Geneva, WI 53147-9694
	(262) 249-4660
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Marina Deatherage
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	146 E Geneva Sq, Lake Geneva, 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:

Mrs Marina Deatherage graduated from nursing school in 2019

NPI Data:

NPI Number: 1538706858
Provider Enumeration Date: 12/05/2019
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3274941711
Enrollment ID: I20210421001374

Medical Identifiers

Medical identifiers for Mrs Marina Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538706858	NPI	-	NPPES
100162164	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209020317 (Illinois)	Secondary
363L00000X	Nurse Practitioner	10857-033 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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. Mrs Marina Deatherage allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Marina Deatherage 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 Marina Deatherage, 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-4660	Mrs Marina Deatherage, 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-4660

Reviews and Comments

Nurse Practitioner Nurses in Lake Geneva, WI

Crystal J Dillett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-939-5459
Jennifer May Kirkpatrick, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 Harmony Dr, Lake Geneva, WI 53147 Phone: 262-249-1960 Fax: 262-249-1962
Amanda Ann Farrell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248
Joann Kiemen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5030
Ms. Claudia L Peterson, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 877-666-7223
Ms. Kimberly Shaffner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N3143 Kale Rd, Lake Geneva, WI 53147 Phone: 262-203-1104
Millicent Joanna Doud, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lake Geneva 146 E Geneva Square, Lake Geneva, WI 53157 Phone: 262-422-8038

Mrs Marina Deatherage, - Medicare Nurse Practitioner in Lake Geneva, WI