Ms Jill Koch Wanggaard, NP | |
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
(262) 884-4088 | |
(262) 884-4078 |
Full Name | Ms Jill Koch Wanggaard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 8400 Washington Ave, Mount Pleasant, 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 |
---|---|---|---|
1396734034 | NPI | - | NPPES |
1396734034 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 74115 (Wisconsin) | Primary |
363LF0000X | Nurse Practitioner - Family | 74115-030 (Wisconsin) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
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 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
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 |
---|---|
Ms Jill Koch Wanggaard, NP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 884-4088 | Ms Jill Koch Wanggaard, NP 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4088 |
Rachel R Gage, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3150 | |
Mrs. Sara Ann Simpson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406 Phone: 262-204-7542 | |
Dean Tajnai, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Eki Drake, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3803 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Stephanie L Ruskell, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Spring St Ste 240, Mount Pleasant, WI 53405 Phone: 262-687-8108 | |
Elizabeth M Cavanaugh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3803 Spring St Ste 410, Mount Pleasant, WI 53405 Phone: 262-687-8260 | |
Anne Stoltenberg, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3821 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8460 |