Angela Marie Ellenberger, NP | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-5000 | |
Not Available |
Full Name | Angela Marie Ellenberger |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 36500 Aurora Dr, Summit, 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 |
---|---|---|---|
1285139188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10342 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
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 |
Mailing Address | Practice Location Address |
---|---|
Angela Marie Ellenberger, NP 310 Blair Ct, Waukesha, WI 53188-4000 Ph: (262) 720-9406 | Angela Marie Ellenberger, NP 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
Mrs. Kelly S Campbell, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Erika Breeser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Jena Louise Cruciani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-343-1000 | |
Holly A Wallace, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Carrie A Petersen, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Andrea M Lovas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Amy M Scott-egerbrecht, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 262-434-5950 |