Mrs Luanne Marie Dikanovic, RNC, NNP | |
10400 75th St, Kenosha, WI 53142-7884 | |
(262) 948-5754 | |
Not Available |
Full Name | Mrs Luanne Marie Dikanovic |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 10400 75th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578705604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WN0002X | Registered Nurse - Neonatal Intensive Care | 92622-030 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 1162 (Wisconsin) | Primary |
Entity Name | Prohealth Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Mrs Luanne Marie Dikanovic, RNC, NNP 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5754 | Mrs Luanne Marie Dikanovic, RNC, NNP 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5754 |
Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714 | |
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044 | |
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700 | |
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903 | |
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180 | |
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560 |