Elizabeth A Vissat, DPM - Medicare Podiatrist in Cudahy, WI

Elizabeth A Vissat, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Cudahy, Wisconsin. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Aurora Advanced Healthcare Inc, Lakeshore Medical Clinic Llc and her current practice location is 5900 S Lake Dr, 2 West, Cudahy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 489-4190.

Elizabeth A Vissat is licensed to practice in Wisconsin (license number I005-25) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609003508.

Contact Information

Elizabeth A Vissat, DPM
5900 S Lake Dr, 2 West,
Cudahy, WI 53110
(414) 489-4190
(414) 489-4015



Healthcare Provider's Profile

Full NameElizabeth A Vissat
GenderFemale
SpecialityPodiatry
Experience15 Years
Location5900 S Lake Dr, Cudahy, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elizabeth A Vissat graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1609003508
  • Provider Enumeration Date: 06/18/2009
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688821168
  • Enrollment ID: I20120906000378

Medical Identifiers

Medical identifiers for Elizabeth A Vissat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609003508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery I005-25 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora St Lukes Medical CenterMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare Inc3375625833929
Lakeshore Medical Clinic Llc7719890730300

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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. Elizabeth A Vissat allows following entities to bill medicare on her behalf.
Provider NameAurora Medical Group, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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Provider NameLakeshore Medical Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481

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Provider NameAurora Advanced Healthcare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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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. Elizabeth A Vissat 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
Elizabeth A Vissat, DPM
5900 S Lake Dr, 2 West,
Cudahy, WI 53110-3171

Ph: (414) 489-4190
Elizabeth A Vissat, DPM
5900 S Lake Dr, 2 West,
Cudahy, WI 53110

Ph: (414) 489-4190

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Podiatrist in Cudahy, WI


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