Jenny L Martin, ACNP | |
2000 E Layton Ave, St Francis, WI 53235-6053 | |
(414) 744-7880 | |
Not Available |
Full Name | Jenny L Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 2000 E Layton Ave, St Francis, 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 |
---|---|---|---|
1871825323 | NPI | - | NPPES |
3955-33 | Other | WI | LICENSE NUMBER |
10007821 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3955-33 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Jenny L Martin, ACNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jenny L Martin, ACNP 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-7880 |
Karin Lee Wasiullah, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Choua Yang Vang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-7880 | |
Krystle K Stolzel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Ryanne Edwards, APNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Alison Marie Damato, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Hayley R Demario, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-294-4516 | |
Ms. Mary Ellen I Sorensen, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 E Layton Ave, #100, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |