Jessica A Grant, APNP | |
710 Riverside Dr, Waupaca, WI 54981-1941 | |
(715) 256-3000 | |
(715) 256-3028 |
Full Name | Jessica A Grant |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 710 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255018370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 14159 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Jessica A Grant, APNP 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 | Jessica A Grant, APNP 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 |
Mary M. Beatty-roloff, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N2919 Cty Hwy Qq, Waupaca, WI 54981 Phone: 715-258-2108 Fax: 715-942-2199 | |
Tammy M Flynn, APNP,PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: E1634 Park View Way, Waupaca, WI 54981 Phone: 920-939-5526 | |
Bradley Klein, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079 | |
Catherine A Anderson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5993 County Road Dd, Waupaca, WI 54981 Phone: 715-824-6769 | |
Mrs. Carri Lynn Schacherl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 Grand Seasons Dr, Waupaca, WI 54981 Phone: 715-258-3650 | |
Janice A Hahn-peskie, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 715-256-3079 |