Carmen Huenerberg, | |
2310 1st Center Ave, Brodhead, WI 53520-1937 | |
(608) 897-8664 | |
Not Available |
Full Name | Carmen Huenerberg |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2310 1st Center Ave, Brodhead, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679961650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6182-33 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | Agrace Palliative Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326386129 PECOS PAC ID: 4385882729 Enrollment ID: O20130524000443 |
Mailing Address | Practice Location Address |
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Carmen Huenerberg, 2310 1st Center Ave, Brodhead, WI 53520-1937 Ph: (608) 897-8664 | Carmen Huenerberg, 2310 1st Center Ave, Brodhead, WI 53520-1937 Ph: (608) 897-8664 |
Darcey Jo Bedward, FNP APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8325 S Avon Store Rd, Brodhead, WI 53520 Phone: 608-449-8207 | |
Benjamin Layne Eithun, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: E401 23rd St, Brodhead, WI 53520 Phone: 262-701-7257 | |
Jacqueline Leigh Conway, APNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1904 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-2191 |