Alicea Rose Byrne, APNP | |
1205 Corporate Center Dr, Oconomowoc, WI 53066-4898 | |
(800) 767-4411 | |
(262) 646-3158 |
Full Name | Alicea Rose Byrne |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1205 Corporate Center Dr, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255906400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10906 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10906 (Wisconsin) | Primary |
Entity Name | Rogers Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371 |
Mailing Address | Practice Location Address |
---|---|
Alicea Rose Byrne, APNP 34700 Valley Rd, Oconomowoc, WI 53066-4500 Ph: (262) 646-4411 | Alicea Rose Byrne, APNP 1205 Corporate Center Dr, Oconomowoc, WI 53066-4898 Ph: (800) 767-4411 |
Jodi Tompitch, APNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 414-587-1430 | |
Gail Buchberger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 Hickory Creek Dr, Oconomowoc, WI 53066 Phone: 262-391-6421 Fax: 262-354-0627 | |
Evgeniya Khen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-9400 | |
Dr. Cassandra Kneifl, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-303-2131 | |
Jessica Shumow, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 | |
Sarah Jean Sanford-smith, MSN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1185 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-928-8400 | |
Ms. Karen L Youngquist, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 Fax: 262-569-2254 |