Evelyn M Schaefer, PSYD in Fond Du Lac, WI - Medicare Clinical Psychologist Provider

Evelyn M Schaefer, PSYD is a medicare enrolled "Psychologist" provider in Fond Du Lac, Wisconsin. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-4200.

Evelyn M Schaefer is licensed to practice in Wisconsin (license number 2339) 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 1962412395.

Contact Information

	Evelyn M Schaefer, PSYD
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-4200
	(920) 926-8885

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn M Schaefer
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	430 E Division St, Fond Du Lac, 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:

Evelyn M Schaefer graduated from medical school in 2000

NPI Data:

NPI Number: 1962412395
Provider Enumeration Date: 08/08/2006
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 3779758636
Enrollment ID: I20111205000903

Medical Identifiers

Medical identifiers for Evelyn M Schaefer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962412395	NPI	-	NPPES
39133800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2339 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
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. Evelyn M Schaefer 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. Evelyn M Schaefer 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
Evelyn M Schaefer, PSYD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8343	Evelyn M Schaefer, PSYD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200

Reviews and Comments

Psychologist in Fond Du Lac, WI

Dr. Espen Klausen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3529
Dr. Domenick Tirabassi Iv, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903
Nancy L Goranson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885
Joseph Haney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3527
Dr. Teri L. Kaczmarek, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Clare Lawlor, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 847-331-2227 Fax: 920-926-8933
Troy William Sheide, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192

Evelyn M Schaefer, PSYD - Medicare Psychologist in Fond Du Lac, WI