Jessica L Lietzan, FNP-C - Medicare Nurse Practitioner in Manitowoc, WI

Jessica L Lietzan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Manitowoc, Wisconsin. Her current practice location is 1650 S 41st St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-2436.

Jessica L Lietzan is licensed to practice in Wisconsin (license number 13101-33) 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 1043901085.

Contact Information

Jessica L Lietzan, FNP-C
1650 S 41st St,
Manitowoc, WI 54220-7316
(920) 320-2436
Not Available



Provider's Profile

Full NameJessica L Lietzan
GenderFemale
SpecialityNurse Practitioner - Family
Location1650 S 41st St, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043901085
  • Provider Enumeration Date: 05/19/2023
  • Last Update Date: 05/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941663249
  • Enrollment ID: I20230905002126

Medical Identifiers

Medical identifiers for Jessica L Lietzan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043901085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13101-33 (Wisconsin)Primary

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. Jessica L Lietzan allows following entities to bill medicare on her behalf.
Entity NameFroedtert Manitowoc Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity 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. Jessica L Lietzan 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
Jessica L Lietzan, FNP-C
1650 S 41st St,
Manitowoc, WI 54220-3712

Ph: () -
Jessica L Lietzan, FNP-C
1650 S 41st St,
Manitowoc, WI 54220-7316

Ph: (920) 320-2436

News Archive

Yale researchers identify racial disparities in prescribing opioids for chronic pain

Yale researchers have identified racial disparities in the treatment of patients who are prescribed opioids for chronic pain.

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Nurse Practitioner Nurses in Manitowoc, WI

Barbara J Backus, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-4500    Fax: 920-682-9378
Veronica Mcfarlane, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-2436    
Brenda Stallbaum, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 339 Reed Ave, Manitowoc, WI 54220
Phone: 920-320-8600    
Angela R Vandewettering, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220
Phone: 920-682-6376    
Andrew Allen Malkowski, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 926 S 8th St, Manitowoc, WI 54220
Phone: 920-683-4230    Fax: 920-683-4902
Nicole Amber Meissner, AGNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2409 S Alverno Rd, Manitowoc, WI 54220
Phone: 920-901-4420    Fax: 920-682-4243

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