Tara Leiting, APNP | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-7740 | |
Not Available |
Full Name | Tara Leiting |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | N2950 State Road 67, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902511702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 13432-33 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Tara Leiting, APNP N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-7740 | Tara Leiting, APNP N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-7740 |
Crystal J Dillett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-939-5459 | |
Jennifer May Kirkpatrick, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 Harmony Dr, Lake Geneva, WI 53147 Phone: 262-249-1960 Fax: 262-249-1962 | |
Amanda Ann Farrell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Joann Kiemen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5030 | |
Ms. Claudia L Peterson, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 877-666-7223 | |
Ms. Kimberly Shaffner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N3143 Kale Rd, Lake Geneva, WI 53147 Phone: 262-203-1104 | |
Millicent Joanna Doud, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lake Geneva 146 E Geneva Square, Lake Geneva, WI 53157 Phone: 262-422-8038 |