Geoffrey B Watters, NP | |
1220 Dewey Ave, Wauwatosa, WI 53213-2504 | |
(414) 454-6753 | |
Not Available |
Full Name | Geoffrey B Watters |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1220 Dewey Ave, Wauwatosa, 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 |
---|---|---|---|
1407464118 | NPI | - | NPPES |
100105234 | Medicaid | WI | |
100105470 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10388-33 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10388-33 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey B Watters, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 773-4312 | Geoffrey B Watters, NP 1220 Dewey Ave, Wauwatosa, WI 53213-2504 Ph: (414) 454-6753 |
Jessica Marie Denton, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-324-2309 | |
Sarah J Parve, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5453 | |
Anne Therese Helmer, NNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-266-2950 | |
Alison Ward, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-874-4555 | |
Garth P Sharpee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222 Phone: 414-384-6700 Fax: 414-727-1058 | |
Maggie C Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4312 | |
Shannon Walowski, MSN, APNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 N 109th St Ste 1, Wauwatosa, WI 53226 Phone: 414-777-1811 Fax: 414-777-1812 |