| Health Connections Incorporated | |
|
4655 N Port Washington Rd Ste 325 Glendale WI 53212-1000 | |
| (404) 218-3686 | |
| (414) 269-8280 |
| Full Name | Health Connections Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 4655 N Port Washington Rd Ste 325, Glendale, Wisconsin |
| Authorized Official Name and Position | Ericka Sinclair (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4042183686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Connections Incorporated Po Box 170635 Milwaukee WI 53217-8051 Ph: (404) 218-3686 | Health Connections Incorporated 4655 N Port Washington Rd Ste 325 Glendale WI 53212-1000 Ph: (404) 218-3686 |
| NPI Number | 1851880157 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Medicare PECOS PAC ID | 8426393349 |
|---|---|
| Medicare Enrollment ID | O20181221000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851880157 | NPI | - | NPPES |
| 100082930 | Medicaid | WI |
| Provider Name | Lakeesha S Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477804466 PECOS PAC ID: 5991943953 Enrollment ID: I20130808000657 |
| Provider Name | Linda Marie Wesp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619087145 PECOS PAC ID: 8325209810 Enrollment ID: I20160211002539 |
| Provider Name | Stephanie R Ghojallu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356797393 PECOS PAC ID: 0446540256 Enrollment ID: I20160607002480 |
| Provider Name | John J Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017424 PECOS PAC ID: 8527390236 Enrollment ID: I20191030001734 |
| Provider Name | Tiera Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203857 PECOS PAC ID: 5597173799 Enrollment ID: I20210427001927 |
| Provider Name | Devin Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790125649 PECOS PAC ID: 1052689163 Enrollment ID: I20230425001048 |
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