Tracy M Peterson, NURSE PRACTIONER | |
3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | |
(414) 384-6700 | |
(414) 384-3008 |
Full Name | Tracy M Peterson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 3077 N Mayfair Rd Ste 305, Wauwatosa, 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 |
---|---|---|---|
1619058740 | NPI | - | NPPES |
36011500 | Medicaid | WI | |
4126880 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2967-033 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Midwest Orthopedic Specialty Hospital | Franklin, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic Surgeons Of Wisconsin Sc | 5294727152 | 40 |
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 | Orthopedic Surgeons Of Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295769321 PECOS PAC ID: 5294727152 Enrollment ID: O20040331001176 |
Entity Name | Midwest Orthopedic Specialty Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275127375 PECOS PAC ID: 7113078833 Enrollment ID: O20210317001381 |
Mailing Address | Practice Location Address |
---|---|
Tracy M Peterson, NURSE PRACTIONER 2901 W Kinnickinnic River Pkwy, Suite 102, Milwaukee, WI 53215-3677 Ph: (414) 384-6700 | Tracy M Peterson, NURSE PRACTIONER 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 Ph: (414) 384-6700 |
Jessica Marie Denton, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-324-2309 | |
Sarah J Parve, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5453 | |
Anne Therese Helmer, NNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-266-2950 | |
Alison Ward, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-874-4555 | |
Garth P Sharpee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222 Phone: 414-384-6700 Fax: 414-727-1058 | |
Maggie C Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4312 | |
Shannon Walowski, MSN, APNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 N 109th St Ste 1, Wauwatosa, WI 53226 Phone: 414-777-1811 Fax: 414-777-1812 |