MARY M DETERMAN MSW LCSW
NPI 1003948522
Social Worker - Clinical in Milwaukee, WI
About Mary M Determan Msw Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY M DETERMAN MSW LCSW (NPI 1003948522) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1174-123) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary M Determan Msw Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53219
MILWAUKEE, WI 53219
MILWAUKEE, WI 53219
MILWAUKEE, WI 53219
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Determan's NPI number?
The NPI number for Mary Determan is 1003948522. It was assigned to this individual provider in the NPPES registry on March 10, 2007.
Where is Mary Determan located?
Mary Determan practices at 5757 W Oklahoma Ave Suite 203, Milwaukee, WI 53219. The listed phone number is (414) 431-6400.
What is Mary Determan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Determan enrolled in Medicare?
Yes. Mary Determan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mary Determan accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health, Providence Health Plan and UnitedHealthcare list Mary Determan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Determan was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary M Determan, MSW LCSW · NPI 1003948522
Clinical provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 10, 2007.
## Identity
- **NPI:** 1003948522 (Entity type: Individual)
- **Enumerated:** March 10, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 1174-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5757 W OKLAHOMA AVE, SUITE 203, Milwaukee, WI 53219-4303
- **Phone:** (414) 431-6400 · **Fax:** (414) 431-6401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** January 29, 2018
- **Other identifiers:** Medicaid 39737200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1003948522) · Data from the CMS NPPES public registry.