Dr Suzanne Eickert, APNP, DC | |
1500 Heritage Rd Ste A, De Pere, WI 54115-4017 | |
(920) 347-1990 | |
Not Available |
Full Name | Dr Suzanne Eickert |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1500 Heritage Rd Ste A, De Pere, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629034509 | NPI | - | NPPES |
K400210431 | Other | WI | MEDICARE ID ASSOCIATED WITH REASSIGNMENT OF BENEFITS |
38990100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 6239-33 (Wisconsin) | Primary |
111N00000X | Chiropractor | 3298 (Wisconsin) | Secondary |
Entity Name | Health In Motion Rehab Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932822004 PECOS PAC ID: 4284003104 Enrollment ID: O20221215000035 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne Eickert, APNP, DC 1500 Heritage Rd Ste A, De Pere, WI 54115-4017 Ph: (920) 347-1990 | Dr Suzanne Eickert, APNP, DC 1500 Heritage Rd Ste A, De Pere, WI 54115-4017 Ph: (920) 347-1990 |
Margaret M Brochocki, APNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-0129 | |
Melissa Lynn Jilot, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 Fax: 920-433-6009 | |
Paul Antonissen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3957 Garrett St, De Pere, WI 54115 Phone: 920-471-3729 | |
Aspen Marie Jump, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 | |
Rachel Ann Mcgill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Winding Waters Way, De Pere, WI 54115 Phone: 920-621-6703 | |
Ivy E Leasum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Wisconsin St, De Pere, WI 54115 Phone: 920-327-7056 | |
Pamela M Page, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |