Kelly Theresia Dassow, FNP - Medicare Nurse Practitioner in Stevens Point, WI

Kelly Theresia Dassow, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stevens Point, Wisconsin. Her current practice location is 4100 State Highway 66, Stevens Point, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 997-6000.

Kelly Theresia Dassow is licensed to practice in Wisconsin (license number 13193) 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 1184359499.

Contact Information

Kelly Theresia Dassow, FNP
4100 State Highway 66,
Stevens Point, WI 54482-8410
(715) 997-6000
Not Available



Provider's Profile

Full NameKelly Theresia Dassow
GenderFemale
SpecialityNurse Practitioner - Family
Location4100 State Highway 66, Stevens Point, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184359499
  • Provider Enumeration Date: 07/20/2022
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416324777
  • Enrollment ID: I20221031001290

Medical Identifiers

Medical identifiers for Kelly Theresia Dassow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184359499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13193 (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. Kelly Theresia Dassow allows following entities to bill medicare on her behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590

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Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666

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Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426

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Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478

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Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807

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Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484

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Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962

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› Verified 9 days ago

Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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› Verified 9 days ago

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. Kelly Theresia Dassow 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
Kelly Theresia Dassow, FNP
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 387-5511
Kelly Theresia Dassow, FNP
4100 State Highway 66,
Stevens Point, WI 54482-8410

Ph: (715) 997-6000

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PLGA tubes better than nerve autografts for repairing sciatic nerve injury

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Phase III trial to test VSV-EBOV vaccine for preventing Ebola to be launched in Guinea

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› Verified 9 days ago


Nurse Practitioner Nurses in Stevens Point, WI

Mr. Ronald Glen Baker, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 910 Fremont St, Uwsp Health Service, Stevens Point, WI 54481
Phone: 715-346-4317    Fax: 715-346-4752
Stephani Placek, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3233a Business Park Dr Ste 203, Stevens Point, WI 54482
Phone: 715-344-4541    
Karen M Hugill, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 Illinois Ave, Stevens Point, WI 54481
Phone: 715-346-5000    
Jodi L Strong, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 824 Illinois Ave, Stevens Point, WI 54481
Phone: 715-342-7500    
Julie A Hennes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3301 Stanley St, Stevens Point, WI 54481
Phone: 715-341-7332    
Rebecca Jorgensen, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5409 Vern Holmes Dr, Stevens Point, WI 54482
Phone: 715-344-1600    
Mrs. Stephanie K Mundt, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5412 Us Highway 10 E, Stevens Point, WI 54482
Phone: 715-346-5243    Fax: 715-346-5419

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