Grace Faulls, | |
3807 Spring St, Mount Pleasant, WI 53405-1667 | |
(262) 687-4011 | |
Not Available |
Full Name | Grace Faulls |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3807 Spring St, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851170526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 14463 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Grace Faulls, W148n8107 University Dr, Menomonee Falls, WI 53051-3825 Ph: (262) 719-3897 | Grace Faulls, 3807 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-4011 |
Rachel R Gage, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3150 | |
Mrs. Sara Ann Simpson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406 Phone: 262-204-7542 | |
Dean Tajnai, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Eki Drake, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3803 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Stephanie L Ruskell, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Spring St Ste 240, Mount Pleasant, WI 53405 Phone: 262-687-8108 | |
Elizabeth M Cavanaugh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3803 Spring St Ste 410, Mount Pleasant, WI 53405 Phone: 262-687-8260 | |
Anne Stoltenberg, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3821 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8460 |