Elizabeth A Vissat, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Cudahy, Wisconsin. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Aurora Advanced Healthcare Inc, Lakeshore Medical Clinic Llc and her current practice location is
5900 S Lake Dr, 2 West, Cudahy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 489-4190.
Elizabeth A Vissat is licensed to practice in Wisconsin (license number I005-25) 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 1609003508.
Healthcare Provider's Profile
| Full Name | Elizabeth A Vissat |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 15 Years |
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| Location | 5900 S Lake Dr, Cudahy, 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:
- Elizabeth A Vissat graduated from medical school in 2009
NPI Data:
- NPI Number: 1609003508
- Provider Enumeration Date: 06/18/2009
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688821168
- Enrollment ID: I20120906000378
Medical Identifiers
Medical identifiers for Elizabeth A Vissat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609003508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | I005-25 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Advanced Healthcare Inc | 3375625833 | 928 |
| Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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. Elizabeth A Vissat allows following entities to bill medicare on her behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Provider Name | Lakeshore Medical Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481 |
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| Provider Name | Aurora Advanced Healthcare Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694 |
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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. Elizabeth A Vissat 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 |
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Elizabeth A Vissat, DPM
5900 S Lake Dr, 2 West,
Cudahy, WI 53110-3171
Ph: (414) 489-4190 | Elizabeth A Vissat, DPM
5900 S Lake Dr, 2 West,
Cudahy, WI 53110
Ph: (414) 489-4190 |
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