Ms Carol A Neissen, LPN is a
Licensed Practical Nurse based in Mukwanago, Wisconsin. Ms Carol A Neissen is licensed to practice in Wisconsin (license number ) and her current practice location is
122 Eagle Lake Ave, Mukwanago, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 363-5554.
NPI number for Ms Carol A Neissen is 1902085996 and her current mailing address is W8093 Territorial Rd, Delavan, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902085996.
Provider's Profile
Full Name | Ms Carol A Neissen |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 122 Eagle Lake Ave, Mukwanago, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902085996
- Provider Enumeration Date: 10/26/2007
- Last Update Date: 10/26/2007
Medical Identifiers
Medical identifiers for Ms Carol A Neissen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902085996 | NPI | - | NPPES |
35038600 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | (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. Ms Carol A Neissen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Carol A Neissen, LPN W8093 Territorial Rd, Delavan, WI 53115 Ph: (608) 883-2344 | Ms Carol A Neissen, LPN 122 Eagle Lake Ave, Mukwanago, WI 53149 Ph: (262) 363-5554 |
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