Michaela Daubon, | |
129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | |
(715) 588-3371 | |
(715) 588-3371 |
Full Name | Michaela Daubon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 129 Old Abe Rd, Lac Du Flambeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912606005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 13638-33 (Wisconsin) | Primary |
Entity Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134235047 PECOS PAC ID: 5496707242 Enrollment ID: O20050221000179 |
Mailing Address | Practice Location Address |
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Michaela Daubon, Po Box 691, Lac Du Flambeau, WI 54538-0691 Ph: (715) 588-3371 | Michaela Daubon, 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 Ph: (715) 588-3371 |
Dana Irmick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-3371 Fax: 715-588-7884 | |
Suanne Vannatter, MHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Lucas C Daniels, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-3371 |