Cody Cameron Brunet, DNP | |
2817 New Pinery Rd, Portage, WI 53901-9240 | |
(608) 742-4131 | |
Not Available |
Full Name | Cody Cameron Brunet |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 2817 New Pinery Rd, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427678176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 9926-33 (Wisconsin) | Primary |
Entity Name | Divine Savior Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Mailing Address | Practice Location Address |
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Cody Cameron Brunet, DNP 1002 Bultman Rd, Madison, WI 53704-8933 Ph: (920) 427-9337 | Cody Cameron Brunet, DNP 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 |
Andrea J Langan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 | |
Kathleen L Ludwikowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Dewitt St, Portage, WI 53901 Phone: 608-297-9680 Fax: 608-745-1757 | |
Tsering Lhamo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Stephanie Jo Holt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Lindsay Kay Schehr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Sarah Jane Halfmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 087-424-1316 | |
Laura L Noonan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-5603 |