Frederick Jacobus Van Vuuren, | |
377 W River Woods Pkwy Ste 201, Glendale, WI 53212-1088 | |
(414) 323-6880 | |
Not Available |
Full Name | Frederick Jacobus Van Vuuren |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 377 W River Woods Pkwy Ste 201, Glendale, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588235105 | NPI | - | NPPES |
10598 | Other | WI | NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10598 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleanslate Medical Group Of Wisconsin Sc | 4284905134 | 30 |
Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
Mailing Address | Practice Location Address |
---|---|
Frederick Jacobus Van Vuuren, 2500 W Mangold Ave, Milwaukee, WI 53221-4965 Ph: (262) 777-0798 | Frederick Jacobus Van Vuuren, 377 W River Woods Pkwy Ste 201, Glendale, WI 53212-1088 Ph: (414) 323-6880 |
Byung Geun Kim, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 | |
Mrs. Kathleen Pugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-249-2420 Fax: 414-961-0298 | |
Paula M Kiehl, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6770 Fax: 414-961-6791 | |
Mharajoy S Kobinah, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4655 N Port Washington Rd, Suite 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280 | |
Juliana M Shah, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7080 N Port Washington Road, Glendale, WI 53217 Phone: 414-351-4009 Fax: 414-351-7060 | |
Lori L. Hartz, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4655n Port Washington Rd 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280 | |
Mr. David Andrew Schuster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-585-1000 |