Ms Lori Deprez King, RN, APNP | |
305 E 12th St, Kaukauna, WI 54130-2865 | |
(920) 766-4656 | |
(920) 766-4659 |
Full Name | Ms Lori Deprez King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 33 Years |
Location | 305 E 12th St, Kaukauna, 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 |
---|---|---|---|
1548210925 | NPI | - | NPPES |
43819300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 423 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaukauna Clinic, S.c. | 5597765891 | 9 |
Entity Name | Kaukauna Clinic, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457317273 PECOS PAC ID: 5597765891 Enrollment ID: O20070111000068 |
Mailing Address | Practice Location Address |
---|---|
Ms Lori Deprez King, RN, APNP 305 E 12th St, Kaukauna, WI 54130-2865 Ph: (920) 766-4656 | Ms Lori Deprez King, RN, APNP 305 E 12th St, Kaukauna, WI 54130-2865 Ph: (920) 766-4656 |
Michael G Aderman, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Frances St, Kaukauna, WI 54130 Phone: 715-927-1032 | |
Jennifer Lea Baumgart, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Jamie Leigh Dewitt, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-426-6100 Fax: 920-426-6109 | |
Seth Patrick Moore, APNP, NP-C, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 E 2nd St Ste U, Kaukauna, WI 54130 Phone: 920-796-9831 |