Stephanie Renne Annen, DPT, C/NDT in Mequon, WI - Medicare Physical Therapist Provider

Stephanie Renne Annen, DPT, C/NDT is a medicare enrolled "Physical Therapist" provider in Mequon, Wisconsin. Her current practice location is 1486 W Mequon Rd, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 247-8030.

Stephanie Renne Annen is licensed to practice in Wisconsin (license number 11690-024) 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 1891088647.

Contact Information

	Stephanie Renne Annen, DPT, C/NDT
	1486 W Mequon Rd, Mequon, WI 53092-3268
	(262) 247-8030
	(262) 241-8304

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Renne Annen
Gender	Female
Speciality	Physical Therapist
Location	1486 W Mequon Rd, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891088647
Provider Enumeration Date: 05/25/2011
Last Update Date: 07/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6204186281
Enrollment ID: I20180912003257

Medical Identifiers

Medical identifiers for Stephanie Renne Annen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891088647	NPI	-	NPPES
100078897	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11690-024 (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. Stephanie Renne Annen allows following entities to bill medicare on her behalf.

Provider Name	Aurora Advanced Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider 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. Stephanie Renne Annen 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
Stephanie Renne Annen, DPT, C/NDT 1486 W Mequon Rd, Mequon, WI 53092-3268 Ph: (262) 247-8030	Stephanie Renne Annen, DPT, C/NDT 1486 W Mequon Rd, Mequon, WI 53092-3268 Ph: (262) 247-8030

Reviews and Comments

Physical Therapist in Mequon, WI

April Belk, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11430 N Port Washington Rd, Mequon, WI 53092 Phone: 262-518-1900
Lois Harrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12800 N Lake Shore Dr, Mequon, WI 53097 Phone: 262-243-4468
Jennifer D'urso, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1249 W Liebau Rd, Mequon, WI 53092 Phone: 262-243-4161 Fax: 262-243-4166
Form & Fitness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11053 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3449 Fax: 262-241-5229
Mrs. Sandra Pacl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12600 N Port Washington Rd, Mequon, WI 53092 Phone: 262-387-8818
Monika Maria De Arteaga, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11649 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-8022
Dr. Melanie Thierfelder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11363 N Port Washington Rd, Mequon, WI 53092 Phone: 262-833-2060 Fax: 262-833-2061

Stephanie Renne Annen, DPT, C/NDT - Medicare Physical Therapist in Mequon, WI