Ms Jennifer Gruber, APNP | |
650 Mcmillen St, Fort Atkinson, WI 53538-1275 | |
(920) 563-8900 | |
Not Available |
Full Name | Ms Jennifer Gruber |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 650 Mcmillen St, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134515703 | NPI | - | NPPES |
1134515703 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6307 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 6307 (Wisconsin) | Primary |
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Entity Name | Fort Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
Mailing Address | Practice Location Address |
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Ms Jennifer Gruber, APNP Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 563-4466 | Ms Jennifer Gruber, APNP 650 Mcmillen St, Fort Atkinson, WI 53538-1275 Ph: (920) 563-8900 |
Bradley Thomas Wagner, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Deborah L Roe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-6090 | |
Moireen Janice Ring, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-541-3078 | |
Jessica L Becher, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 338 Foster St, Fort Atkinson, WI 53538 Phone: 920-941-0381 | |
Joellyn Krause, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Susan K Ipsen, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 Fax: 920-563-4472 |