| Stephanie Rose Wynn, NP | |
|
6811 118th Ave, Kenosha, WI 53142-8420 | |
| (262) 857-5750 | |
| Not Available |
| Full Name | Stephanie Rose Wynn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6811 118th Ave, Kenosha, 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 |
|---|---|---|---|
| 1417415761 | NPI | - | NPPES |
| 100097887 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9103 (Wisconsin) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 9103-33 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
| 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 | Hcr Manorcare Medical Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050511000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Rose Wynn, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Stephanie Rose Wynn, NP 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5750 |
Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714 | |
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044 | |
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700 | |
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903 | |
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180 | |
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560 |