Elizabeth Jodie Perkins, RN | |
1515 Park Ave, Columbus, WI 53925-1618 | |
(920) 623-2200 | |
Not Available |
Full Name | Elizabeth Jodie Perkins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1515 Park Ave, Columbus, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720734601 | NPI | - | NPPES |
222140 | Other | WI | RN LISCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 222140 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 12109-33 (Wisconsin) | Primary |
Entity Name | Prairie Ridge Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Jodie Perkins, RN 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-1200 | Elizabeth Jodie Perkins, RN 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 |
Tina Marie Haase, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1513 Park Ave Fl 1, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Ms. Dawn Marie Faust, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-2323 | |
Babette Marie Mehling, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Park Ave Fl 1, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1787 | |
Bridget Sharkey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 608-623-2200 |