Taresa B Fassbender, PA - Medicare Physician Assistant in Green Bay, WI

Taresa B Fassbender, PA is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. Her current practice location is 3263 Eaton Rd Ste 1, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-6000.

Taresa B Fassbender is licensed to practice in Wisconsin (license number 2429-023) 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 1093942047.

Contact Information

Taresa B Fassbender, PA
3263 Eaton Rd Ste 1,
Green Bay, WI 54311-6830
(920) 433-6000
(920) 433-6009



Provider's Profile

Full NameTaresa B Fassbender
GenderFemale
SpecialityPhysician Assistant
Location3263 Eaton Rd Ste 1, 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: 1093942047
  • Provider Enumeration Date: 06/17/2009
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668525437
  • Enrollment ID: I20090728000577

Medical Identifiers

Medical identifiers for Taresa B Fassbender such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093942047NPI-NPPES
11987405OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2429-023 (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. Taresa B Fassbender 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
Taresa B Fassbender, PA
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7222
Taresa B Fassbender, PA
3263 Eaton Rd Ste 1,
Green Bay, WI 54311-6830

Ph: (920) 433-6000

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› Verified 3 days ago


Physician Assistant Nurses in Green Bay, WI

Krista M Solarek, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304
Phone: 920-430-4888    Fax: 920-430-4889
Mrs. Jenna Mae Hanson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1715 Dousman St, Green Bay, WI 54303
Phone: 920-496-4770    
Bethany J Piotrowski,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1630 Commanche Ave, Green Bay, WI 54313
Phone: 920-433-6000    Fax: 920-430-4719
Whitney Jo Brusich, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 920-498-4200    
Ethan T Shaver, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-5555    Fax: 920-288-5550
Dayna K Niesen, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 414-290-6720    Fax: 414-290-6755
Katelin Marie Selner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-8300    

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