Pamela R Deback, NP | |
2514 S 102nd St Ste 160, West Allis, WI 53227-2142 | |
(414) 225-0304 | |
Not Available |
Full Name | Pamela R Deback |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2514 S 102nd St Ste 160, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487948626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 4409 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 440933 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Pamela R Deback, NP 6860 Dallas Pkwy, Ste 550, Plano, TX 75024-4252 Ph: (414) 688-5751 | Pamela R Deback, NP 2514 S 102nd St Ste 160, West Allis, WI 53227-2142 Ph: (414) 225-0304 |
Taranpreet Kaur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Paul Facchiano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Michelle Cyr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0300 | |
Christina Lindsay, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1709 S 70th St, West Allis, WI 53214 Phone: 414-510-9078 | |
Autumn D Unrein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227 Phone: 414-328-8777 Fax: 414-328-8110 | |
Stephanie Schell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227 Phone: 414-328-8270 Fax: 414-328-8275 | |
Katelyn Nieman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0340 Fax: 855-342-0199 |