Mary A Mellenthin, APNP - Nurse Practitioner in Fond Du Lac, WI

Mary A Mellenthin, APNP is a Nurse Practitioner - Family based in Fond Du Lac, Wisconsin. Mary A Mellenthin is licensed to practice in Wisconsin (license number 6501-33) and her current practice location is 912 S Hickory St, Fond Du Lac, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 907-3922.

NPI number for Mary A Mellenthin is 1164890596 and her current mailing address is 420 E Division St, Fond Du Lac, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164890596.

Contact Information

Mary A Mellenthin, APNP
912 S Hickory St,
Fond Du Lac, WI 54935-5530
(920) 907-3922
(920) 929-7392



Provider's Profile

Full NameMary A Mellenthin
GenderFemale
SpecialityNurse Practitioner - Family
Location912 S Hickory St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164890596
  • Provider Enumeration Date: 09/02/2015
  • Last Update Date: 12/07/2020

Medical Identifiers

Medical identifiers for Mary A Mellenthin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164890596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6501-33 (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. Mary A Mellenthin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary A Mellenthin, APNP
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-5666
Mary A Mellenthin, APNP
912 S Hickory St,
Fond Du Lac, WI 54935-5530

Ph: (920) 907-3922

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› Verified 4 days ago


Nurse Practitioner Nurses in Fond Du Lac, WI

Mary R Kelm, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8230    
Michelle Kehrmeyer, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 209-926-4197    Fax: 920-926-4197
Jessica L Habeck, DNP, APNP, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-5020    
Mrs. Jennifer Nicole Stephany, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    Fax: 920-926-8907
Theresa J Baseley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    Fax: 920-907-7012
Tammy Rae Karls, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8495    
Faye M Franklin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8570    

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