Nathan Wallenfang, NP in Marinette, WI - Medicare Nurse Practitioner

Nathan Wallenfang, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marinette, Wisconsin. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Aurora Medical Group, Inc., Advocate Health And Hospitals Corporation and his current practice location is 4061 Old Peshtigo Rd, Marinette, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 732-8100.

Nathan Wallenfang is licensed to practice in Wisconsin (license number 6862) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386090512.

Contact Information

	Nathan Wallenfang, NP
	4061 Old Peshtigo Rd, Marinette, WI 54143-3887
	(715) 732-8100
	(715) 732-8007

Map and Direction

Provider's Profile

Full Name	Nathan Wallenfang
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	4061 Old Peshtigo Rd, Marinette, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathan Wallenfang graduated from nursing school in 2015

NPI Data:

NPI Number: 1386090512
Provider Enumeration Date: 05/06/2016
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2062706757
Enrollment ID: I20160803000675

Medical Identifiers

Medical identifiers for Nathan Wallenfang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386090512	NPI	-	NPPES
100059198	Medicaid	WI
100159456	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6862 (Wisconsin)	Primary
363L00000X	Nurse Practitioner	6862 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269
Advocate Health And Hospitals Corporation	7810800935	2484

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. Nathan Wallenfang allows following entities to bill medicare on his 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

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Baycare Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

Entity Name	Aurora Quick Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Nathan Wallenfang 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
Nathan Wallenfang, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Nathan Wallenfang, NP 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 Ph: (715) 732-8100

Reviews and Comments

Nurse Practitioner Nurses in Marinette, WI

Kathy Ann Brattain, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Shore Dr, Suite 4, Marinette, WI 54143 Phone: 715-732-8610 Fax: 715-732-8650
Megan D Sekora, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 414-389-2338
Lynda J. Bahde, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2935 Shore Dr, Marinette, WI 54143 Phone: 715-732-9193 Fax: 715-732-9196
Kristin Kayelynn Light, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225
Sharon L Fellion, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3123 Shore Dr Ste 201, Womans Specialty Care, Marinette, WI 54143 Phone: 715-735-6263 Fax: 715-735-5692
Katie J Rettler, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388
Erika Marie Goddard, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200

Nathan Wallenfang, NP - Medicare Nurse Practitioner in Marinette, WI