Tanya Mudgett, APNP | |
18606 Ervin St, Whitehall, WI 54773-8613 | |
(715) 538-4355 | |
Not Available |
Full Name | Tanya Mudgett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 18606 Ervin St, Whitehall, 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 |
---|---|---|---|
1114438348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7921 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Tri-county Hospital & Clinics | Whitehall, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-county Memorial Hospital Inc | 4587642418 | 55 |
Entity Name | Tri-county Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124063573 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
Mailing Address | Practice Location Address |
---|---|
Tanya Mudgett, APNP 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-1712 | Tanya Mudgett, APNP 18606 Ervin St, Whitehall, WI 54773-8613 Ph: (715) 538-4355 |
Nicole Lestencia Bjerke, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-1712 | |
Kathy Ann Boe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-1712 | |
Jodene M R Ekker, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 | |
Julie J Meyers, APNC-APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18520 Scranton St, Whitehall, WI 54773 Phone: 715-538-2306 Fax: 715-538-2278 | |
Debra Lynn Tidquist, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 Fax: 715-538-2912 |