Heidi J Jennrich, APNP | |
500 Mcmillen Street, Fort Atkinson, WI 53538-1223 | |
(950) 563-5571 | |
(920) 563-7705 |
Full Name | Heidi J Jennrich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 500 Mcmillen Street, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548223746 | NPI | - | NPPES |
41258200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2334-33 (Wisconsin) | Primary |
Entity Name | Fort Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
Mailing Address | Practice Location Address |
---|---|
Heidi J Jennrich, APNP 500 Mcmillen Street, Fort Atkinson, WI 53538-1223 Ph: (950) 563-5571 | Heidi J Jennrich, APNP 500 Mcmillen Street, Fort Atkinson, WI 53538-1223 Ph: (950) 563-5571 |
Bradley Thomas Wagner, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Deborah L Roe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-6090 | |
Moireen Janice Ring, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-541-3078 | |
Jessica L Becher, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 338 Foster St, Fort Atkinson, WI 53538 Phone: 920-941-0381 | |
Joellyn Krause, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Ms. Jennifer Gruber, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-8900 | |
Susan K Ipsen, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 Fax: 920-563-4472 |