| Amber Rose Hendriksen, NP | |
|
1507 Doctors Ct, Watertown, WI 53094-4101 | |
| (920) 261-4111 | |
| Not Available |
| Full Name | Amber Rose Hendriksen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1507 Doctors Ct, Watertown, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881244358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9490 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9490 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 416 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Rose Hendriksen, NP 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 262-4495 | Amber Rose Hendriksen, NP 1507 Doctors Ct, Watertown, WI 53094-4101 Ph: (920) 261-4111 |
Mrs. Amber Kathlyn Miller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4495 | |
Jan S Beyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6693 | |
Jeannie Kaye Adams, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107 | |
Dr. Mary K Gatzke, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W5726 County T, Watertown, WI 53094 Phone: 920-253-6582 | |
Mrs. Jewel E Schneider, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Watertown, WI 53094 Phone: 920-262-7444 | |
Ashley Smaglick, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 | |
Ms. Andrea Marie Cantwell-durand, RNC, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Dr Ste 212, Watertown, WI 53098 Phone: 920-471-4044 Fax: 833-471-4090 |