Michelle L Martin, APNP | |
14555 W National Ave, New Berlin, WI 53151-4494 | |
(262) 827-2955 | |
Not Available |
Full Name | Michelle L Martin |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 14555 W National Ave, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053159269 | NPI | - | NPPES |
100291903 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 15600 (Wisconsin) | Primary |
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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Michelle L Martin, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Michelle L Martin, APNP 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (262) 827-2955 |
Mr. Dennis J Garvin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12901 W National Ave, New Berlin, WI 53151 Phone: 262-787-5200 | |
Katherine Ciminelli Waller, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Ms. Julie Ann Averbeck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Kyla Phu, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 844-284-0381 | |
Mrs. Margaret R Salinas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 | |
Kristen Kelly Frederiksen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4779 S Forest Point Blvd, New Berlin, WI 53151 Phone: 262-894-4193 |