Erica Koshak, is a
Licensed Practical Nurse based in Rothschild, Wisconsin. Erica Koshak is licensed to practice in Wisconsin (license number 327189-31) and her current practice location is
10609 Tesch Ln Apt 30, Rothschild, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 490-2264.
NPI number for Erica Koshak is 1164154092 and her current mailing address is 10609 Tesch Ln Apt 30, Rothschild, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164154092.
Provider's Profile
| Full Name | Erica Koshak |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 10609 Tesch Ln Apt 30, Rothschild, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164154092
- Provider Enumeration Date: 06/29/2022
- Last Update Date: 06/29/2022
Medical Identifiers
Medical identifiers for Erica Koshak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164154092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 327189-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Koshak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erica Koshak,
10609 Tesch Ln Apt 30,
Rothschild, WI 54474-9000
Ph: () - | Erica Koshak,
10609 Tesch Ln Apt 30,
Rothschild, WI 54474-9000
Ph: (715) 490-2264 |
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