Mariah M Collicott, NP | |
1061 E Commerce Blvd, Slinger, WI 53086-9326 | |
(262) 644-2900 | |
Not Available |
Full Name | Mariah M Collicott |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1061 E Commerce Blvd, Slinger, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568185403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 13169-33 (Wisconsin) | Primary |
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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Mariah M Collicott, NP 1061 E Commerce Blvd, Slinger, WI 53086-9326 Ph: (262) 644-2900 | Mariah M Collicott, NP 1061 E Commerce Blvd, Slinger, WI 53086-9326 Ph: (262) 644-2900 |
Mrs. Margaret D Schommer, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 Fax: 262-644-2977 | |
Stacey Lynn Brandt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 Fax: 262-644-2977 | |
Jessica Olmschenk, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 |