| Lisa Drew, | |
|
110 Monroe St, Beaver Dam, WI 53916-2437 | |
| (920) 887-3376 | |
| Not Available |
| Full Name | Lisa Drew |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 110 Monroe St, Beaver Dam, 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 |
|---|---|---|---|
| 1134530769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5819 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5819 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 416 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Drew, 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Lisa Drew, 110 Monroe St, Beaver Dam, WI 53916-2437 Ph: (920) 887-3376 |
Ellen Marie Vander Galien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Beaver Dam, WI 53916 Phone: 920-887-7692 | |
Mrs. Cheryl Lea Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Park Ave Ste 1, Beaver Dam, WI 53916 Phone: 920-885-5225 Fax: 920-356-6419 | |
Heidi Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102 | |
Judy A Macdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-356-1000 | |
Lyndsey Christenson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8790 | |
Diane Marie Rundle, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Stoddart St, Beaver Dam, WI 53916 Phone: 920-885-3528 Fax: 920-885-3662 |