| Audrey Anna Katz, CNM | |
|
8905 W Lincoln Ave, West Allis, WI 53227-2468 | |
| (414) 328-8650 | |
| (414) 328-8660 |
| Full Name | Audrey Anna Katz |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 8905 W Lincoln Ave, West Allis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366012536 | NPI | - | NPPES |
| 300053006 | Medicaid | IN | |
| 100281852 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 09000377A (Indiana) | Secondary |
| 367A00000X | Advanced Practice Midwife | 15367 (Wisconsin) | Primary |
| Entity Name | Heart City Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720033418 PECOS PAC ID: 9931008380 Enrollment ID: O20040105000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Anna Katz, CNM Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Audrey Anna Katz, CNM 8905 W Lincoln Ave, West Allis, WI 53227-2468 Ph: (414) 328-8650 |
Jessica N Schaefer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave Ste 515, West Allis, WI 53227 Phone: 414-328-8650 | |
Cheryl Ann Jaeger, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8905 W Lincoln Ave, Suite 515, West Allis, WI 53227 Phone: 414-328-8650 Fax: 414-328-8660 | |
Billie Jo H Cornett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave Ste 411, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-328-8536 | |
Amanda Kliber, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 | |
Janet Gruner, RN CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Caitlyn Marie Raatz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 932 S 60th St, West Allis, WI 53214 Phone: 414-291-2626 |