Ms Kaitlyn N Pufahl, CPNP in Beaver Dam, WI - Medicare Nurse Practitioner

Ms Kaitlyn N Pufahl, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Beaver Dam, Wisconsin. Her current practice location is 109 Warren St Ste 4, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 885-3305.

Ms Kaitlyn N Pufahl is licensed to practice in Wisconsin (license number 4453) 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 1710272778.

Contact Information

	Ms Kaitlyn N Pufahl, CPNP
	109 Warren St Ste 4, Beaver Dam, WI 53916-3082
	(920) 885-3305
	(920) 885-5506

Map and Direction

Provider's Profile

Full Name	Ms Kaitlyn N Pufahl
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	109 Warren St Ste 4, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710272778
Provider Enumeration Date: 06/17/2011
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5991238867
Enrollment ID: I20241030003079

Medical Identifiers

Medical identifiers for Ms Kaitlyn N Pufahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710272778	NPI	-	NPPES
21319100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SP0200X	Clinical Nurse Specialist - Pediatrics	4453-33 (Wisconsin)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	4453 (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. Ms Kaitlyn N Pufahl allows following entities to bill medicare on her behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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 Kaitlyn N Pufahl 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
Ms Kaitlyn N Pufahl, CPNP 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Ms Kaitlyn N Pufahl, CPNP 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 Ph: (920) 885-3305

Reviews and Comments

Nurse Practitioner Nurses in Beaver Dam, WI

Ellen Marie Vander Galien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Beaver Dam, WI 53916 Phone: 920-887-7692
Mrs. Cheryl Lea Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Park Ave Ste 1, Beaver Dam, WI 53916 Phone: 920-885-5225 Fax: 920-356-6419
Heidi Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102
Judy A Macdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-356-1000
Lyndsey Christenson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8790
Diane Marie Rundle, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Stoddart St, Beaver Dam, WI 53916 Phone: 920-885-3528 Fax: 920-885-3662
Heidi Marie Neuhauser, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-4089

Ms Kaitlyn N Pufahl, CPNP - Medicare Nurse Practitioner in Beaver Dam, WI