Dennis Dean Elmergreen, PSY D is a medicare enrolled "Psychologist - Family" provider in Bowler, Wisconsin. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Elmergreen Associates, Stockbridge Munsee Community and his current practice location is
W12802 County Road A, Bowler, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 793-4144.
Dennis Dean Elmergreen is licensed to practice in Wisconsin (license number 1260-057) 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 1922172675.
Healthcare Provider's Profile
| Full Name | Dennis Dean Elmergreen |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 38 Years |
|---|
| Location | W12802 County Road A, Bowler, 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:
- Dennis Dean Elmergreen graduated from medical school in 1986
NPI Data:
- NPI Number: 1922172675
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7517863707
- Enrollment ID: I20031209000607
Medical Identifiers
Medical identifiers for Dennis Dean Elmergreen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922172675 | NPI | - | NPPES |
| 39200800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0000X | Psychologist - Family | 1260-057 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Elmergreen Associates | 5496909483 | 5 |
| Stockbridge Munsee Community | 9830094655 | 10 |
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. Dennis Dean Elmergreen allows following entities to bill medicare on his behalf.
| Entity Name | Stockbridge Munsee Community |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629070180
PECOS PAC ID: 9830094655
Enrollment ID: O20031204000904 |
|---|
| Entity Name | Elmergreen Associates |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922173418
PECOS PAC ID: 5496909483
Enrollment ID: O20130128000409 |
|---|
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. Dennis Dean Elmergreen 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 |
|---|
Dennis Dean Elmergreen, PSY D
3911 Crestwood Dr,
Wausau, WI 54403-2399
Ph: (175) 675-3807 | Dennis Dean Elmergreen, PSY D
W12802 County Road A,
Bowler, WI 54416-9551
Ph: (715) 793-4144 |
Reviews and Comments