Legenda Gooding, APNP | |
1475 W Grand Ave, Port Washington, WI 53074-2074 | |
(262) 268-5100 | |
(262) 268-5115 |
Full Name | Legenda Gooding |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1475 W Grand Ave, Port Washington, 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 |
---|---|---|---|
1093255549 | NPI | - | NPPES |
100065765 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7303-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 7303 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Community Hospital West Bend | West bend, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Legenda Gooding, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Legenda Gooding, APNP 1475 W Grand Ave, Port Washington, WI 53074-2074 Ph: (262) 268-5100 |
Dr. Maureen Therese Greene, RN, CNS, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1136 Noridge Trl, Port Washington, WI 53074 Phone: 262-268-1328 | |
Catherine L Turner, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5115 | |
Heidi S Wheeler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6603 | |
Holly Marie Kempers, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8157 Fax: 262-284-8209 | |
Mrs. Arleen L More O'ferrall, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St Ste 23, Port Washington, WI 53074 Phone: 414-375-5005 |