Minuteclinic Video Virtual Care Of Wisconsin, Sc - Medicare Mental Health Clinic in Milwaukee, WI

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Minuteclinic Video Virtual Care Of Wisconsin, Sc is a medicare enrolled mental health clinic (Nurse Practitioner - Family) in Milwaukee, Wisconsin. The current practice location for Minuteclinic Video Virtual Care Of Wisconsin, Sc is 1650 N Farwell Ave, Milwaukee, Wisconsin. For appointments, you can reach them via phone at (866) 389-2727. The mailing address for Minuteclinic Video Virtual Care Of Wisconsin, Sc is 1 Cvs Dr # Mc2295, Woonsocket, Rhode Island and phone number is (866) 389-2727.

Minuteclinic Video Virtual Care Of Wisconsin, Sc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932732914. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (866) 389-2727.

Contact Information

Minuteclinic Video Virtual Care Of Wisconsin, Sc
1650 N Farwell Ave
Milwaukee
WI 53202-2331
(866) 389-2727
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMinuteclinic Video Virtual Care Of Wisconsin, Sc
SpecialityNurse Practitioner
Location1650 N Farwell Ave, Milwaukee, Wisconsin
Authorized Official Name and PositionDeborah Pincince (ADMINISTRATOR)
Authorized Official Contact4017703813
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Minuteclinic Video Virtual Care Of Wisconsin, Sc
1 Cvs Dr # Mc2295
Woonsocket
RI 02895-6146

Ph: (866) 389-2727		Minuteclinic Video Virtual Care Of Wisconsin, Sc
1650 N Farwell Ave
Milwaukee
WI 53202-2331

Ph: (866) 389-2727

NPI Details:

NPI Number1932732914
Provider Enumeration Date02/18/2020
Last Update Date05/07/2024
Certification Date05/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0547684243
Medicare Enrollment IDO20200727003573

Medical Identifiers

Medical identifiers for Minuteclinic Video Virtual Care Of Wisconsin, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932732914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Minuteclinic Video Virtual Care Of Wisconsin, Sc acts as a billing entity for following providers:
Provider NameAnn M Leeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790151355
PECOS PAC ID: 6305140294
Enrollment ID: I20160215000202
Provider NameTarren Prange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922573625
PECOS PAC ID: 0345584108
Enrollment ID: I20181205000379
Provider NameMeredith L Drvaric
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417425349
PECOS PAC ID: 7719222405
Enrollment ID: I20181228000549
Provider NameHarsimran Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922615533
PECOS PAC ID: 5597179663
Enrollment ID: I20210201001974
Provider NameTiera Manuel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982203857
PECOS PAC ID: 5597173799
Enrollment ID: I20210427001927
Provider NameHanna Naker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225601347
PECOS PAC ID: 6103217146
Enrollment ID: I20211229001543
Provider NameLaurie Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023435831
PECOS PAC ID: 8224251418
Enrollment ID: I20220901000814
Provider NameMolly M Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285975961
PECOS PAC ID: 8921245598
Enrollment ID: I20220912002709
Provider NameSierra Barr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659864593
PECOS PAC ID: 5991054447
Enrollment ID: I20220913002502
Provider NameElizabeth Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699301408
PECOS PAC ID: 2668893496
Enrollment ID: I20220915000351
Provider NameKathryn Roush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114395423
PECOS PAC ID: 6103126024
Enrollment ID: I20220922001512
Provider NameAlisha Vernacchio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225558687
PECOS PAC ID: 1153681077
Enrollment ID: I20221110000750
Provider NameSapna Makhijani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114569951
PECOS PAC ID: 5991138042
Enrollment ID: I20221111001181
Provider NameBrandy Perine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780392977
PECOS PAC ID: 5092186262
Enrollment ID: I20230126000307
Provider NameJodit Beyene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073891305
PECOS PAC ID: 5193997914
Enrollment ID: I20230207000980
Provider NameMichele Corrice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821085143
PECOS PAC ID: 0244243400
Enrollment ID: I20230214001064
Provider NameJaclyn Shoemaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295257673
PECOS PAC ID: 5193098010
Enrollment ID: I20230222001836
Provider NameHolly Surges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548976756
PECOS PAC ID: 9335513332
Enrollment ID: I20230314001957
Provider NameRebecca Thomlinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215477179
PECOS PAC ID: 2961789433
Enrollment ID: I20230523003304
Provider NameKarren Agyekum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508296542
PECOS PAC ID: 1557598653
Enrollment ID: I20230524001447
Provider NameAmaya Edge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053943647
PECOS PAC ID: 8628485422
Enrollment ID: I20230602000833
Provider NameJessica Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316228646
PECOS PAC ID: 0143492934
Enrollment ID: I20230614001293
Provider NameKaren Dougherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124593868
PECOS PAC ID: 7719222140
Enrollment ID: I20230913001979
Provider NameHilary Karabin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801172184
PECOS PAC ID: 0446484042
Enrollment ID: I20230913003478
Provider NameChristine Dimino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508374273
PECOS PAC ID: 0941561070
Enrollment ID: I20240314003716

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.