Nicole Raczynski, NP | |
6425 W Mequon Rd, Mequon, WI 53092-1862 | |
(262) 387-8200 | |
Not Available |
Full Name | Nicole Raczynski |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6425 W Mequon Rd, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922858547 | NPI | - | NPPES |
100274389 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 14899-33 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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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 |
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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 |
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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 |
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Nicole Raczynski, NP Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Nicole Raczynski, NP 6425 W Mequon Rd, Mequon, WI 53092-1862 Ph: (262) 387-8200 |
Mrs. Mary Katherine Kautz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097 Phone: 262-243-3700 Fax: 262-243-3701 | |
Kathryn R Rodberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11430 N. Port Washington Rd., Mequon, WI 53092 Phone: 262-518-1900 | |
Lindsay A Wojciechowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 | |
Annette S Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8239 | |
Kristen E Lachapell, MS, GNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-236-6602 | |
Kathryn Ann Cesarz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13111 N Port Washington Rd Rm 121, Mequon, WI 53097 Phone: 262-243-7300 | |
Pamela D. Powell, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-0051 |