| Horizon Healthcare, Inc | |
|
4650 S Howell Ave Milwaukee WI 53207-5908 | |
| (414) 376-5577 | |
| (414) 762-9927 |
| Full Name | Horizon Healthcare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4650 S Howell Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rebbecca Zillmer (MANAGER) |
| Authorized Official Contact | 4143016384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Healthcare, Inc 217 Wisconsin Ave Ste 204 Waukesha WI 53186-4946 Ph: (414) 301-6384 | Horizon Healthcare, Inc 4650 S Howell Ave Milwaukee WI 53207-5908 Ph: (414) 376-5577 |
| NPI Number | 1225052830 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 0749182160 |
|---|---|
| Medicare Enrollment ID | O20040124000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225052830 | NPI | - | NPPES |
| 100030905 | Medicaid | WI | |
| 100031478 | Medicaid | WI | |
| 42215200 | Medicaid | WI |
| Provider Name | Ronald G Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598834574 PECOS PAC ID: 1052205614 Enrollment ID: I20040212000889 |
| Provider Name | Kim M Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366603581 PECOS PAC ID: 9133267628 Enrollment ID: I20091103000304 |
| Provider Name | Shuba Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326324385 PECOS PAC ID: 3678749538 Enrollment ID: I20111228000058 |
| Provider Name | Neville W Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740316181 PECOS PAC ID: 5597911495 Enrollment ID: I20120808000886 |
| Provider Name | Gregory S Jurenec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790834109 PECOS PAC ID: 3779722970 Enrollment ID: I20130619000475 |
| Provider Name | Beverly Felten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366470130 PECOS PAC ID: 4082617220 Enrollment ID: I20140124000531 |
| Provider Name | Rachelle B Manke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497166870 PECOS PAC ID: 1951527779 Enrollment ID: I20140730002196 |
| Provider Name | Alwin A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245610658 PECOS PAC ID: 8022329085 Enrollment ID: I20150617000572 |
| Provider Name | Melissa M Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002133 PECOS PAC ID: 3274842489 Enrollment ID: I20151028001946 |
| Provider Name | Veronica Ashlene Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811552623 PECOS PAC ID: 3072841212 Enrollment ID: I20190826001578 |
| Provider Name | Jessica Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700351301 PECOS PAC ID: 3577894369 Enrollment ID: I20191009000853 |
| Provider Name | Karen Lee Sclafani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104809532 PECOS PAC ID: 2961787403 Enrollment ID: I20191209001781 |
| Provider Name | Shalonda Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659569929 PECOS PAC ID: 5092143750 Enrollment ID: I20200312001297 |
| Provider Name | Amanda Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558886598 PECOS PAC ID: 7517387913 Enrollment ID: I20201024000030 |
| Provider Name | Brandon James Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982065991 PECOS PAC ID: 0345635041 Enrollment ID: I20220316000705 |
| Provider Name | Mary Kofigah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871122556 PECOS PAC ID: 0042681017 Enrollment ID: I20230130002606 |
| Provider Name | Desiree Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285941740 PECOS PAC ID: 8022475466 Enrollment ID: I20230531000633 |
| Provider Name | Shanna Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386940575 PECOS PAC ID: 1153785357 Enrollment ID: I20230906002605 |
| Provider Name | Jennifer Guenther Dzemske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457606121 PECOS PAC ID: 9234584608 Enrollment ID: I20231005001049 |
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