Dayna K Niesen, PA-C - Medicare Physician Assistant in Green Bay, WI

Dayna K Niesen, PA-C is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. Her current practice location is 1726 Shawano Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 290-6720.

Dayna K Niesen is licensed to practice in Wisconsin (license number 2975-23) 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 1023360583.

Contact Information

Dayna K Niesen, PA-C
1726 Shawano Ave,
Green Bay, WI 54303-3216
(414) 290-6720
(414) 290-6755



Provider's Profile

Full NameDayna K Niesen
GenderFemale
SpecialityPhysician Assistant
Location1726 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023360583
  • Provider Enumeration Date: 10/09/2012
  • Last Update Date: 12/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547412868
  • Enrollment ID: I20121213000493

Medical Identifiers

Medical identifiers for Dayna K Niesen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023360583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2975-23 (Wisconsin)Primary

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. Dayna K Niesen 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
Dayna K Niesen, PA-C
111 E Wisconsin Ave, Suite 2000,
Milwaukee, WI 53202-4815

Ph: (414) 290-6720
Dayna K Niesen, PA-C
1726 Shawano Ave,
Green Bay, WI 54303-3216

Ph: (414) 290-6720

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› Verified 3 days ago


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