| Trilogy Health Group Llc | |
|
2717 N Grandview Blvd Ste 103 Waukesha WI 53188-1672 | |
| (262) 565-6202 | |
| (414) 435-3152 |
| Full Name | Trilogy Health Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2717 N Grandview Blvd Ste 103, Waukesha, Wisconsin |
| Authorized Official Name and Position | Lisa Cwikla (CO-OWNER) |
| Authorized Official Contact | 4148283244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trilogy Health Group Llc 2717 N Grandview Blvd Ste 103 Waukesha WI 53188-1672 Ph: (262) 565-6202 | Trilogy Health Group Llc 2717 N Grandview Blvd Ste 103 Waukesha WI 53188-1672 Ph: (262) 565-6202 |
| NPI Number | 1497401095 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 7113304692 |
|---|---|
| Medicare Enrollment ID | O20220523001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497401095 | NPI | - | NPPES |
| Provider Name | Keith C Rindahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093360380 PECOS PAC ID: 3375875578 Enrollment ID: I20191021001977 |
| Provider Name | Shalonda Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659569929 PECOS PAC ID: 5092143750 Enrollment ID: I20200312001297 |
| Provider Name | Lisa Rae Cwikla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825684 PECOS PAC ID: 9133527476 Enrollment ID: I20211018001168 |
| Provider Name | Dennis Kochanik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982378493 PECOS PAC ID: 5496146409 Enrollment ID: I20211230001613 |
| Provider Name | Maggie Rose Friede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891389706 PECOS PAC ID: 4385090570 Enrollment ID: I20231024002782 |
Allied Counseling Services, S.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2717 N Grandview Blvd Ste 202, Waukesha, WI 53188 Phone: 262-751-5672 Fax: 855-702-2180 | |
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