Jill Olsen, APNP | |
100 County Road B, Shawano, WI 54166-7072 | |
(715) 524-2161 | |
(715) 524-8164 |
Full Name | Jill Olsen |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 100 County Road B, Shawano, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750510103 | NPI | - | NPPES |
1750510103 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3792 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Mailing Address | Practice Location Address |
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Jill Olsen, APNP Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3200 | Jill Olsen, APNP 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Veronica Gehrman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 E Green Bay St, Shawano, WI 54166 Phone: 715-524-2166 | |
Mrs. Angela M Parmentier, DNP, APNP, NP-C, RN- Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Michaela James, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-2111 | |
Ann Renae Thornock, APNP - FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 920-526-3461 | |
Jason J Krueger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Alisha Mary Erdmann, APNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-2111 Fax: 715-524-2167 | |
Kathleen Marie Elertson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 |