| Amanda Passint, | |
|
411 Pewaukee Rd, Pewaukee, WI 53072-5886 | |
| (262) 695-5145 | |
| Not Available |
| Full Name | Amanda Passint |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 411 Pewaukee Rd, Pewaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275948077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 363L00000X (Wisconsin) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 20082701 (Wisconsin) | Secondary |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Passint, W224n2824 Stonewood Ct, Waukesha, WI 53186-1042 Ph: () - | Amanda Passint, 411 Pewaukee Rd, Pewaukee, WI 53072-5886 Ph: (262) 695-5145 |
Maureen R. Kuglitsch, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Community Nursing Clinic At Wctc, 800 Main Street Room So173, Pewaukee, WI 53072 Phone: 262-695-1888 Fax: 262-695-1884 | |
Amanda Hoffman, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N51w24953 Lisbon Rd, Pewaukee, WI 53072 Phone: 262-532-8691 | |
Emily Becker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N16w23217 Stone Ridge Dr. Suite 270, Pewaukee, WI 53188 Phone: 262-796-0600 Fax: 262-796-0700 | |
Luann M Ladwig, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W244n4840 Swan Rd, Pewaukee, WI 53072 Phone: 262-370-2311 | |
Joshua D Orne, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 | |
Mary Beth Checkai, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Room So173 Community Nursing Clinic At Wctc, Pewaukee, WI 53072 Phone: 262-695-1888 Fax: 262-695-1884 |