| Jennifer Lee Pravechek, NP-C | |
|
555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 | |
| (920) 338-6820 | |
| Not Available |
| Full Name | Jennifer Lee Pravechek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 555 Redbird Cir, De Pere, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679773915 | NPI | - | NPPES |
| 36047500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 285485 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 533 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Pravechek, NP-C Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Jennifer Lee Pravechek, NP-C 555 Redbird Cir, Suite 200, De Pere, WI 54115-7977 Ph: (920) 338-6820 |
Margaret M Brochocki, APNP PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-0129 | |
Melissa Lynn Jilot, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 Fax: 920-433-6009 | |
Paul Antonissen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3957 Garrett St, De Pere, WI 54115 Phone: 920-471-3729 | |
Aspen Marie Jump, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 | |
Rachel Ann Mcgill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 Winding Waters Way, De Pere, WI 54115 Phone: 920-621-6703 | |
Ivy E Leasum, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 N Wisconsin St, De Pere, WI 54115 Phone: 920-327-7056 | |
Pamela M Page, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |