Teresa J Wiersma, NP is a medicare enrolled "Nurse Practitioner - Family" in Randolph, Wisconsin. Her current practice location is
504 S High St, Randolph, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 326-5060.
Teresa J Wiersma is licensed to practice in Wisconsin (license number 125502) 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 1417931833.
Provider's Profile
| Full Name | Teresa J Wiersma |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 504 S High St, Randolph, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teresa J Wiersma attended and graduated from in
NPI Data:
- NPI Number: 1417931833
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 09/15/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Teresa J Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417931833 | NPI | - | NPPES |
| 390807236CW | Other | WI | UNITY |
| WI01S5 | Other | WI | JOHN DEERE |
| 41253300 | Medicaid | WI | |
| P00206887 | Other | WI | RAILROAD MEDICARE |
| 13789 | Other | WI | DEAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 125502 (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. Teresa J Wiersma 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 |
|---|
Teresa J Wiersma, NP
504 S High St, Po Box 101,
Randolph, WI 53956-1499
Ph: (920) 326-5060 | Teresa J Wiersma, NP
504 S High St,
Randolph, WI 53956-1499
Ph: (920) 326-5060 |
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