Dr Krista Lyn Fogltanz, AUD - Medicare Audiologist in Brookfield, WI

Dr Krista Lyn Fogltanz, AUD is a medicare enrolled "Audiologist" provider in Brookfield, Wisconsin. She went to Rush Medical College Of Rush University and graduated in 2020 and has 4 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Froedtert Manitowoc Medical Group, Llc and her current practice location is 200 S Executive Dr, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (888) 964-6681.

Dr Krista Lyn Fogltanz is licensed to practice in Illinois (license number 147.001770) 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 1174140115.

Contact Information

Dr Krista Lyn Fogltanz, AUD
200 S Executive Dr,
Brookfield, WI 53005-4216
(888) 964-6681
Not Available



Healthcare Provider's Profile

Full NameDr Krista Lyn Fogltanz
GenderFemale
SpecialityQualified Audiologist
Experience4 Years
Location200 S Executive Dr, Brookfield, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Krista Lyn Fogltanz attended and graduated from Rush Medical College Of Rush University in 2020
  NPI Data:
  • NPI Number: 1174140115
  • Provider Enumeration Date: 06/25/2020
  • Last Update Date: 09/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648698316
  • Enrollment ID: I20200911001372

Medical Identifiers

Medical identifiers for Dr Krista Lyn Fogltanz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174140115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 721-156 (Wisconsin)Secondary
231H00000XAudiologist 147.001770 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert Manitowoc Medical Group, Llc2365836954114

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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. Dr Krista Lyn Fogltanz allows following entities to bill medicare on her behalf.
Provider NameFroedtert Manitowoc Medical Group, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437829975
PECOS PAC ID: 2365836954
Enrollment ID: O20220224001282

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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. Dr Krista Lyn Fogltanz 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 AddressPractice Location Address
Dr Krista Lyn Fogltanz, AUD
4715 W Whitetail Ct,
Manitowoc, WI 54220-8305

Ph: (920) 323-0136
Dr Krista Lyn Fogltanz, AUD
200 S Executive Dr,
Brookfield, WI 53005-4216

Ph: (888) 964-6681

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Audiologist in Brookfield, WI

Kathryn M Olsen, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 12780 W North Ave, Suite B, Brookfield, WI 53005
Phone: 262-784-9300    
Jane M Elliott, CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005
Phone: 888-964-6681    Fax: 888-662-0859
Mrs. Armona Rose Nadler-strick, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 200 S Executive Dr, Brookfield, WI 53005
Phone: 888-964-6681    
Advanced Hearing Solutions Of Wisconsin Sc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 12780 W North Ave, Suite B, Brookfield, WI 53005
Phone: 262-784-9300    Fax: 262-784-9306
Mrs. Kimberly Dawn Jones, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 19475 W North Ave, Suite 301, Brookfield, WI 53045
Phone: 262-780-4444    Fax: 262-780-4329
Jennifer Zakry Mihalek, CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005
Phone: 888-964-6681    Fax: 888-662-0859

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