Tajana Jovicic, | |
11430 N Port Washington Rd, Mequon, WI 53092-3414 | |
(262) 518-1900 | |
Not Available |
Full Name | Tajana Jovicic |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 11430 N Port Washington 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 |
---|---|---|---|
1801494778 | NPI | - | NPPES |
10395 | Other | WI | FNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10395 (Wisconsin) | Primary |
Entity Name | Muslim Community And Health Center Of Wisconsin Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962850768 PECOS PAC ID: 7618258062 Enrollment ID: O20161227001392 |
Mailing Address | Practice Location Address |
---|---|
Tajana Jovicic, 11430 N Port Washington Rd, Mequon, WI 53092-3414 Ph: (262) 518-1900 | Tajana Jovicic, 11430 N Port Washington Rd, Mequon, WI 53092-3414 Ph: (262) 518-1900 |
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 |