Guadalupe Orlando Romero, NURSE PRACTITIONER - Medicare Nurse Practitioner in Kenosha, WI

Guadalupe Orlando Romero, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Kenosha, Wisconsin. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cleanslate Medical Group Of Wisconsin Sc and his current practice location is 4777 88th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 605-5253.

Guadalupe Orlando Romero is licensed to practice in Wisconsin (license number 9774-33) 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 1063031045.

Contact Information

Guadalupe Orlando Romero, NURSE PRACTITIONER
4777 88th Ave,
Kenosha, WI 53144-7439
(262) 605-5253
(262) 605-5903



Provider's Profile

Full NameGuadalupe Orlando Romero
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location4777 88th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Guadalupe Orlando Romero graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1063031045
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 04/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1557754264
  • Enrollment ID: I20220201002112

Medical Identifiers

Medical identifiers for Guadalupe Orlando Romero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063031045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9774-33 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleanslate Medical Group Of Wisconsin Sc428490513430

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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. Guadalupe Orlando Romero allows following entities to bill medicare on his behalf.
Entity NameCleanslate Medical Group Of Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518404854
PECOS PAC ID: 4284905134
Enrollment ID: O20170810002045

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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. Guadalupe Orlando Romero 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
Guadalupe Orlando Romero, NURSE PRACTITIONER
600 52nd St Ste 300,
Kenosha, WI 53140-3423

Ph: (262) 656-8400
Guadalupe Orlando Romero, NURSE PRACTITIONER
4777 88th Ave,
Kenosha, WI 53144-7439

Ph: (262) 605-5253

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Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6714    
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-565-0044    
Carly Worden, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2707 15th Pl, Kenosha, WI 53140
Phone: 262-551-2700    
Christine Marie Foster, APNP, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142
Phone: 262-789-1191    Fax: 262-821-6180
Alejandra Moore, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142
Phone: 262-764-5595    Fax: 262-764-9314
Quentin R Kasuboski, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142
Phone: 262-697-7000    Fax: 630-734-1560

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