Kelle Joell Tomatz, FNP-BC | |
6609 W Greenfield Ave, West Allis, WI 53214-4958 | |
(414) 257-8577 | |
Not Available |
Full Name | Kelle Joell Tomatz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6609 W Greenfield Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972912764 | NPI | - | NPPES |
100040306 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5795 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5795-33 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Aurora Medical Group, Inc. |
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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 |
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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 |
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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 |
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Kelle Joell Tomatz, FNP-BC Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kelle Joell Tomatz, FNP-BC 6609 W Greenfield Ave, West Allis, WI 53214-4958 Ph: (414) 257-8577 |
Taranpreet Kaur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Paul Facchiano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Virginia R Kuenzi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2424 S 90th St, West Allis, WI 53227 Phone: 414-328-8150 Fax: 414-328-8350 | |
Ashley A Mikkelsen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave Ste 505, West Allis, WI 53227 Phone: 414-329-5647 | |
Autumn D Unrein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227 Phone: 414-328-8777 Fax: 414-328-8110 | |
Stephanie Schell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227 Phone: 414-328-8270 Fax: 414-328-8275 | |
Katelyn Nieman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0340 Fax: 855-342-0199 |