Brenna Davis, PA-C | |
1310 Broadway, Wisconsin Dells, WI 53965-1358 | |
(608) 253-1171 | |
(608) 253-8012 |
Full Name | Brenna Davis |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 1310 Broadway, Wisconsin Dells, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932566379 | NPI | - | NPPES |
1932566379 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1015 (South Dakota) | Secondary |
363A00000X | Physician Assistant | 5784-23 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Brenna Davis, PA-C 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 | Brenna Davis, PA-C 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 |
Cindy Xiao, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 | |
Jennifer L. Spady, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Susan M Teschan-hanson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 |