Brenda N Reisdorph, RN | |
2000 N Dewey Ave, Reedsburg, WI 53959-1049 | |
(608) 524-6487 | |
(608) 524-0842 |
Full Name | Brenda N Reisdorph |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2000 N Dewey Ave, Reedsburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851392864 | NPI | - | NPPES |
43970300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 82979 (Wisconsin) | Primary |
Entity Name | Reedsburg Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
Entity Name | Richland Medical Center, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932100690 PECOS PAC ID: 6305828906 Enrollment ID: O20040607000729 |
Entity Name | Richland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
Mailing Address | Practice Location Address |
---|---|
Brenda N Reisdorph, RN 2000 N Dewey Ave, Reedsburg, WI 53959-1049 Ph: (608) 524-6487 | Brenda N Reisdorph, RN 2000 N Dewey Ave, Reedsburg, WI 53959-1049 Ph: (608) 524-6487 |
Stacey C Warneke, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-524-6487 | |
Ivy Jeanne Marks, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 E Main St, Reedsburg, WI 53959 Phone: 608-768-3333 | |
Heather Cherney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-524-6477 | |
Mrs. Racheal Mayes Fuller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-888-2696 | |
Amanda Lynn Stittleburg, DNP, APNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1104 21st St, Reedsburg, WI 53959 Phone: 608-768-3900 Fax: 608-524-1947 | |
Diane S Pautzke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-524-6487 Fax: 608-524-0842 | |
Carrie Kast, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-524-6477 |