Mrs Brenda Blunt, APNP | |
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
(414) 489-9000 | |
Not Available |
Full Name | Mrs Brenda Blunt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 5900 S Lake Dr, Cudahy, 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 |
---|---|---|---|
1174878839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4877-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 4877 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Blunt, APNP 420 W Michigan St, Port Washington, WI 53074-2101 Ph: (414) 766-1044 | Mrs Brenda Blunt, APNP 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-9000 |
Brienn Murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6010 S Crosswinds Dr Unit 3, Cudahy, WI 53110 Phone: 414-350-9528 | |
Asia Ann Gomez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2816 E Allison Ave, Cudahy, WI 53110 Phone: 414-349-7458 | |
Lena G Podolsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Advanced Pain Management, Cudahy, WI 53110 Phone: 414-489-4183 Fax: 414-489-4582 | |
Kathryn Merkel, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 | |
Kimberly J Gehrig, APNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4190 | |
Mrs. Tracy A Proulx, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4580 S Nicholson Ave, Cudahy, WI 53110 Phone: 414-326-4800 |