Wisconsin Kidney Care, S.c. | |
2810 Crossroads Dr Ste 4000, Office No. 4013, Madison, WI 53718 | |
(608) 747-7878 | |
Not Available |
Full Name | Wisconsin Kidney Care, S.c. |
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Type | Facility |
Speciality | Clinic/center |
Location | 2810 Crossroads Dr Ste 4000, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114539087 | NPI | - | NPPES |
Provider Name | Darci F Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144990532 PECOS PAC ID: 7416346119 Enrollment ID: I20211118002099 |
Provider Name | Carol Newmark |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336880848 PECOS PAC ID: 9537556154 Enrollment ID: I20220627000752 |
Provider Name | Keli Perino |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1154841328 PECOS PAC ID: 0042589749 Enrollment ID: I20220928003040 |
Provider Name | Laura Gers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992085583 PECOS PAC ID: 6002066453 Enrollment ID: I20230713002380 |
Provider Name | Christine Gallup |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1083981831 PECOS PAC ID: 8224422597 Enrollment ID: I20230928002070 |
Provider Name | Emily Jo Whitworth |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1467654889 PECOS PAC ID: 5294827440 Enrollment ID: I20240117002302 |
Provider Name | Alina H Egolf |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205550266 PECOS PAC ID: 3678939238 Enrollment ID: I20240506003142 |
Provider Name | Haley D Justus |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20240508000405 |
Mailing Address | Practice Location Address |
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Wisconsin Kidney Care, S.c. 1600 Stout St Ste 2000, Attn Strive Health Credentialing Team, Denver, CO 80202-3113 Ph: (980) 443-4852 | Wisconsin Kidney Care, S.c. 2810 Crossroads Dr Ste 4000, Office No. 4013, Madison, WI 53718 Ph: (608) 747-7878 |