Samantha L Thiede, APNP in Waupun, WI - Medicare Nurse Practitioner

Samantha L Thiede, APNP is a medicare enrolled "Nurse Practitioner" in Waupun, Wisconsin. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 608 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-6801.

Samantha L Thiede is licensed to practice in Wisconsin (license number 10152) 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 1306454053.

Contact Information

	Samantha L Thiede, APNP
	608 W Brown St, Waupun, WI 53963-1788
	(920) 324-6801
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha L Thiede
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	608 W Brown St, Waupun, 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:

Samantha L Thiede graduated from nursing school in 2020

NPI Data:

NPI Number: 1306454053
Provider Enumeration Date: 07/20/2020
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8820416928
Enrollment ID: I20200921003084

Medical Identifiers

Medical identifiers for Samantha L Thiede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306454053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10152 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waupun Memorial Hospital	Waupun, WI	Hospital
St Agnes Hospital	Fond du lac, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. Samantha L Thiede allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Samantha L Thiede 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
Samantha L Thiede, APNP 608 W Brown St, Waupun, WI 53963-1788 Ph: (920) 324-6801	Samantha L Thiede, APNP 608 W Brown St, Waupun, WI 53963-1788 Ph: (920) 324-6801

Reviews and Comments

Nurse Practitioner Nurses in Waupun, WI

Ms. Mary Ann Gorske, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 920-324-5571
Stephanie Lynn Bush, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9899
Jessica Y Sullivan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6801 Fax: 920-324-9765
Ms. Melissa A. Johnson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-6290
Peggy L Keuler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-5577
Brie K Strook, FNP, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 Gateway Dr, Waupun, WI 53963 Phone: 920-345-1306

Samantha L Thiede, APNP - Medicare Nurse Practitioner in Waupun, WI