| Miss Mary Kofigah, 10020 - 33 NP | |
|
21150 W. Capital Dr., Brookfield, WI 53072 | |
| (262) 366-0665 | |
| Not Available |
| Full Name | Miss Mary Kofigah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 21150 W. Capital Dr., Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871122556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1002033 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024001821 (Wisconsin) | Primary |
| Entity Name | Horizon Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052830 PECOS PAC ID: 0749182160 Enrollment ID: O20040124000318 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Mary Kofigah, 10020 - 33 NP 21150 W. Capital Dr., Brookfield, WI 53072 Ph: (262) 366-0665 | Miss Mary Kofigah, 10020 - 33 NP 21150 W. Capital Dr., Brookfield, WI 53072 Ph: (262) 366-0665 |
Ms. Lisa M Spannbauer, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2085 N Calhoun Road, Second Floor, Brookfield, WI 53005 Phone: 262-827-9200 Fax: 262-827-8641 | |
Elizabeth A Jarecki, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3115 Lilly Rd Unit 209, Brookfield, WI 53005 Phone: 414-530-3460 | |
Judith Hummel, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18125 Prairie Falcon Ln, Brookfield, WI 53045 Phone: 262-366-6237 | |
Tammy Lynn Albelo, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19475 W North Ave Ste 305, Brookfield, WI 53045 Phone: 262-785-7430 | |
Linda Ann Stone, PHD RNC APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13965 W Burleigh Rd, Ste 103, Brookfield, WI 53005 Phone: 262-785-1404 Fax: 262-785-1409 | |
Meagan Alonge, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 S Sunny Slope Rd, Brookfield, WI 53005 Phone: 262-798-8750 | |
Mrs. Wendi Leigh Alar, A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 S Parkway Dr, 5000 W. National Avenue, Brookfield, WI 53005 Phone: 262-789-5049 |