Lakeshore Medical Clinic, Llc - Medicare Primary Care in Saint Francis, WI

Lakeshore Medical Clinic, Llc is a medicare enrolled primary clinic (Family Medicine) in Saint Francis, Wisconsin. The current practice location for Lakeshore Medical Clinic, Llc is 2000 E Layton Ave Ste 100, Saint Francis, Wisconsin. For appointments, you can reach them via phone at (414) 744-6589. The mailing address for Lakeshore Medical Clinic, Llc is Po Box 735044, Chicago, Illinois and phone number is (414) 647-6326.

Lakeshore Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003861188. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 744-6589.

Contact Information

Lakeshore Medical Clinic, Llc
2000 E Layton Ave Ste 100
Saint Francis
WI 53235-6054
(414) 744-6589
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLakeshore Medical Clinic, Llc
SpecialityFamily Medicine
Location2000 E Layton Ave Ste 100, Saint Francis, Wisconsin
Authorized Official Name and PositionNan Nelson (ASSISTANT TREASURER)
Authorized Official Contact4142991610
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeshore Medical Clinic, Llc
Po Box 735044
Chicago
IL 60673-5044

Ph: (414) 647-6326
Lakeshore Medical Clinic, Llc
2000 E Layton Ave Ste 100
Saint Francis
WI 53235-6054

Ph: (414) 744-6589

NPI Details:

NPI Number1003861188
Provider Enumeration Date05/24/2006
Last Update Date09/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7719890730
Medicare Enrollment IDO20031106000481

Medical Identifiers

Medical identifiers for Lakeshore Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003861188NPI-NPPES
32797200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261Q00000XClinic/center (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeshore Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameJaideep S Joshi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972572592
PECOS PAC ID: 8123922283
Enrollment ID: I20031121000094
Provider NameSteven H Falconer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962517094
PECOS PAC ID: 4183529514
Enrollment ID: I20031126000697
Provider NameLouie N Kostopoulos
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1356431001
PECOS PAC ID: 1557262383
Enrollment ID: I20040115000695
Provider NameDaniel A Peterson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902913304
PECOS PAC ID: 5193627255
Enrollment ID: I20040121000419
Provider NameNoelle C Kisting
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649378969
PECOS PAC ID: 9234031659
Enrollment ID: I20040124000283
Provider NameMartin R Crain
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1285655159
PECOS PAC ID: 1658273057
Enrollment ID: I20040126000351
Provider NameDaniel P Malone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972540664
PECOS PAC ID: 9436051844
Enrollment ID: I20040126000378
Provider NameMack Alan Karnes
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225072721
PECOS PAC ID: 6305758624
Enrollment ID: I20040126000476
Provider NameEdward W St Ville
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003838111
PECOS PAC ID: 7810809142
Enrollment ID: I20040126000498
Provider NameDaniel T Rapp
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881643880
PECOS PAC ID: 8022920347
Enrollment ID: I20040126000516
Provider NameRoger F Axtell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215958178
PECOS PAC ID: 4385546605
Enrollment ID: I20040126000541
Provider NameJohn C Cline
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982623229
PECOS PAC ID: 8628970977
Enrollment ID: I20040126000701
Provider NameLawrence Rufer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174560742
PECOS PAC ID: 6507768850
Enrollment ID: I20040126000714
Provider NamePeter Drescher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063436996
PECOS PAC ID: 3173425444
Enrollment ID: I20040126000812
Provider NameRichard J Jochem
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407893191
PECOS PAC ID: 9931001211
Enrollment ID: I20040126000865
Provider NameAnn M Rohrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174630420
PECOS PAC ID: 2163316357
Enrollment ID: I20040210000087
Provider NameSatchidanand J Hiremath
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1316968290
PECOS PAC ID: 6002718509
Enrollment ID: I20040216001276
Provider NameDavid H Hinke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225146368
PECOS PAC ID: 7517854128
Enrollment ID: I20040301000940
Provider NameCorey B Wolf
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508897208
PECOS PAC ID: 0345138186
Enrollment ID: I20040304001062
Provider NameRosanna Ranieri
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1407802002
PECOS PAC ID: 1850280512
Enrollment ID: I20040311001267
Provider NameKari A Kluessendorf
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477589869
PECOS PAC ID: 1557250214
Enrollment ID: I20040311001288
Provider NameSteven M Gryniewicz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457386153
PECOS PAC ID: 9335034586
Enrollment ID: I20040312000062
Provider NamePaul J Grebe
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1295764702
PECOS PAC ID: 7416842661
Enrollment ID: I20040312000199
Provider NameLynn M Gilles
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194757955
PECOS PAC ID: 7315832565
Enrollment ID: I20040312000232
Provider NameVenkata K Thota
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134183783
PECOS PAC ID: 2961395421
Enrollment ID: I20040317001176
Provider NamePaul S Bernstein
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013917962
PECOS PAC ID: 3678485968
Enrollment ID: I20040318000684
Provider NameJonathan R Berry
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952480824
PECOS PAC ID: 5395637219
Enrollment ID: I20040326000094
Provider NameDavid R Madenberg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780751495
PECOS PAC ID: 8729070131
Enrollment ID: I20040402000832
Provider NameColleen M Bonkowski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508814286
PECOS PAC ID: 1658364930
Enrollment ID: I20040405000125
Provider NameRobert E Neimon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336174036
PECOS PAC ID: 3678468824
Enrollment ID: I20040406000913
Provider NameWilliam B Macdonald
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407883093
PECOS PAC ID: 8527953769
Enrollment ID: I20040406000970
Provider NameMark T Lawton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932128568
PECOS PAC ID: 7214822469
Enrollment ID: I20040406001277
Provider NameRick L Strickroot
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629043120
PECOS PAC ID: 2062406507
Enrollment ID: I20040408001185
Provider NameSacha Ramirez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316025844
PECOS PAC ID: 4789678749
Enrollment ID: I20040413000147
Provider NameStephen T Vanblarcom
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1982678553
PECOS PAC ID: 0345235958
Enrollment ID: I20040414001736
Provider NameJeanette A Kalupa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285690198
PECOS PAC ID: 2365437787
Enrollment ID: I20040415001327
Provider NameTimothy G Buchanan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912085416
PECOS PAC ID: 8729074513
Enrollment ID: I20040426000792
Provider NameDeanne J Keim
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619056587
PECOS PAC ID: 8123015914
Enrollment ID: I20040426000848
Provider NameMaysa L Sameh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629156146
PECOS PAC ID: 5395732010
Enrollment ID: I20040426001760
Provider NameFrank Lavora
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316025893
PECOS PAC ID: 3577550094
Enrollment ID: I20040427001424
Provider NameDarin A Maccoux
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891874764
PECOS PAC ID: 6800883323
Enrollment ID: I20040427001461
Provider NameBrian J Dudor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942388459
PECOS PAC ID: 3678560109
Enrollment ID: I20040427001491
Provider NameDexter R Rebancos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801974399
PECOS PAC ID: 8628065158
Enrollment ID: I20040427001547
Provider NamePaul Madsen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760440994
PECOS PAC ID: 8426045717
Enrollment ID: I20040428001117
Provider NameMark Glazer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396823878
PECOS PAC ID: 3779495098
Enrollment ID: I20040428001193
Provider NameKathryn M Kiyono
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083793954
PECOS PAC ID: 3476540428
Enrollment ID: I20040429001405
Provider NameShereen Mohis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043264609
PECOS PAC ID: 4486641354
Enrollment ID: I20040430000771
Provider NameMabria Loqman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891862678
PECOS PAC ID: 1254320096
Enrollment ID: I20040507000938
Provider NameJeffrey S Villwock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659335743
PECOS PAC ID: 1355330663
Enrollment ID: I20040511001224
Provider NameScott T Hardin
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1518074129
PECOS PAC ID: 2365423258
Enrollment ID: I20040526001302
Provider NameJohn J Mcguinness
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649247347
PECOS PAC ID: 0547243461
Enrollment ID: I20040611000179
Provider NameSushil S Sabnis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922034982
PECOS PAC ID: 3971496373
Enrollment ID: I20040621001750
Provider NameEthel V Sabnis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558395905
PECOS PAC ID: 0143113548
Enrollment ID: I20040622001618
Provider NameMauricio E Palencia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770558264
PECOS PAC ID: 5294711560
Enrollment ID: I20040628000218
Provider NameAndrew D Simon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285665729
PECOS PAC ID: 7416933742
Enrollment ID: I20040628000669
Provider NameRaul Mateo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295814028
PECOS PAC ID: 8921085788
Enrollment ID: I20040630000786
Provider NamePaul E Robey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952489445
PECOS PAC ID: 1052224003
Enrollment ID: I20040630000859
Provider NameSyed Ali A Gardezi
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1689626574
PECOS PAC ID: 9133106727
Enrollment ID: I20040701000815
Provider NameDavid Munoz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104905009
PECOS PAC ID: 2668459256
Enrollment ID: I20040701000834
Provider NameMilka Mandich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598830333
PECOS PAC ID: 4486631090
Enrollment ID: I20040701000902
Provider NameRita E Schulz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083789820
PECOS PAC ID: 5799762308
Enrollment ID: I20040701000943
Provider NameStephen C Lamberton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558435123
PECOS PAC ID: 7315850369
Enrollment ID: I20040701001063
Provider NameMichael D Damico
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386722866
PECOS PAC ID: 7315924966
Enrollment ID: I20040701001197
Provider NameSridevi Koritala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992883474
PECOS PAC ID: 9537146006
Enrollment ID: I20040701001452
Provider NameEric M Dorn
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033192562
PECOS PAC ID: 2668459173
Enrollment ID: I20040702000071
Provider NameTodd H Goodman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952489478
PECOS PAC ID: 9537146915
Enrollment ID: I20040702000687
Provider NameMalini A Mehta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285709816
PECOS PAC ID: 4880671262
Enrollment ID: I20040702000701
Provider NameRichard M Hayes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053499566
PECOS PAC ID: 8224015607
Enrollment ID: I20040702000721
Provider NameThomas J Broihier
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1578641155
PECOS PAC ID: 5799762027
Enrollment ID: I20040702001101
Provider NameStephen L Nord
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1437237948
PECOS PAC ID: 5496733263
Enrollment ID: I20040708001094
Provider NameRebecca L Scerpella
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518045038
PECOS PAC ID: 9830177617
Enrollment ID: I20040708001211
Provider NameSarang B Baman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770661290
PECOS PAC ID: 4587642384
Enrollment ID: I20040708001352
Provider NameErika S Sellers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689752107
PECOS PAC ID: 0547248148
Enrollment ID: I20040709001344
Provider NameJohn R Brill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285643932
PECOS PAC ID: 1153309505
Enrollment ID: I20040712000709
Provider NameGeoffrey S Scott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528029949
PECOS PAC ID: 2365421716
Enrollment ID: I20040719000547
Provider NameDavid W Litzau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811929672
PECOS PAC ID: 0042299356
Enrollment ID: I20040719001028
Provider NameShaik O Sayeed
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1679651103
PECOS PAC ID: 7618957416
Enrollment ID: I20040722000629
Provider NameKendal J Hoard
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1740349984
PECOS PAC ID: 4385615780
Enrollment ID: I20040802000095
Provider NameJoseph M Cronin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164431219
PECOS PAC ID: 3476525866
Enrollment ID: I20040806000784
Provider NameKatherine M Hoyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932214822
PECOS PAC ID: 8123090297
Enrollment ID: I20040810000016
Provider NameChihab E Bilal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275542961
PECOS PAC ID: 9537132857
Enrollment ID: I20040816000754
Provider NameJohn P Mooney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548208259
PECOS PAC ID: 4688647928
Enrollment ID: I20040816000875
Provider NameChristopher J Zellmer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346275435
PECOS PAC ID: 6800860933
Enrollment ID: I20040824000469
Provider NameMichelle C Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013934447
PECOS PAC ID: 6305811910
Enrollment ID: I20040827000640
Provider NameEdmund J Fernandez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669587739
PECOS PAC ID: 2769458132
Enrollment ID: I20040907001298
Provider NameSandra Lee Mikolas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164539656
PECOS PAC ID: 5991772931
Enrollment ID: I20040910000536
Provider NameJeffrey A Derus
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1679564660
PECOS PAC ID: 8729055900
Enrollment ID: I20040916000271
Provider NameNicholas G Stephani
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114987203
PECOS PAC ID: 1456329457
Enrollment ID: I20040917000709
Provider NameAhmet Demircioglu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114005642
PECOS PAC ID: 6406824655
Enrollment ID: I20040924000319
Provider NameManoj K Nayak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538275243
PECOS PAC ID: 4587633714
Enrollment ID: I20040924001042
Provider NameLeyla M Solis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659459188
PECOS PAC ID: 7719963032
Enrollment ID: I20040928000479
Provider NameDebora A Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487744173
PECOS PAC ID: 5092775494
Enrollment ID: I20041011000503
Provider NameSupriya Sharma
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225145410
PECOS PAC ID: 9537121439
Enrollment ID: I20041102001198
Provider NameRonald I Cohen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982697942
PECOS PAC ID: 2961465315
Enrollment ID: I20041108000422
Provider NameGloria J Maliszewski Weller
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235274598
PECOS PAC ID: 3779547542
Enrollment ID: I20041112000411
Provider NameJessica L Zemlak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740320035
PECOS PAC ID: 3577527506
Enrollment ID: I20041118000535
Provider NameJeffrey N Glaspy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619925237
PECOS PAC ID: 7719885235
Enrollment ID: I20041201000425
Provider NameNorman J Schroeder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245224245
PECOS PAC ID: 7315903630
Enrollment ID: I20041208000084
Provider NameAmy M Wiza
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1750435947
PECOS PAC ID: 9032176912
Enrollment ID: I20041213000323
Provider NameMark H Hermanoff
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1447309786
PECOS PAC ID: 3274581616
Enrollment ID: I20050112000242
Provider NameNancy J Blankenship
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104840636
PECOS PAC ID: 4789632175
Enrollment ID: I20050112000575
Provider NameKathleen R Maginot
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922074095
PECOS PAC ID: 9739138983
Enrollment ID: I20050114000516
Provider NameSaleem Bakhtiar
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528077294
PECOS PAC ID: 3971552795
Enrollment ID: I20050119000798
Provider NameRizwan Loya
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447218755
PECOS PAC ID: 5890785166
Enrollment ID: I20050126000206
Provider NameSuhail Q Allaqaband
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1669449203
PECOS PAC ID: 9133170194
Enrollment ID: I20050207000881
Provider NameKaylen Snoda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669424420
PECOS PAC ID: 3375595424
Enrollment ID: I20050216000760
Provider NameJames A Toniolo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801815154
PECOS PAC ID: 4486607249
Enrollment ID: I20050222000441
Provider NameJohn S Hokanson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700852829
PECOS PAC ID: 2860446382
Enrollment ID: I20050308000886
Provider NameMuhammed Nmn Nadeem
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760580955
PECOS PAC ID: 1153239181
Enrollment ID: I20050310000444
Provider NameChristopher S Wilson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053494559
PECOS PAC ID: 5395790646
Enrollment ID: I20050321000150
Provider NameScott W Gage
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326076258
PECOS PAC ID: 1052205945
Enrollment ID: I20050404000644
Provider NameLuke Joseph Lamers
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952353799
PECOS PAC ID: 6305894668
Enrollment ID: I20050420001011
Provider NameVictoria L Bowe Fisher
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1952464174
PECOS PAC ID: 9739128166
Enrollment ID: I20050427000057
Provider NameShelley K Watters
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1407963457
PECOS PAC ID: 3375582141
Enrollment ID: I20050502000067
Provider NameBrian E Lundeen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194775445
PECOS PAC ID: 8123083300
Enrollment ID: I20050504000245
Provider NameMatthew Brewer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225052152
PECOS PAC ID: 1557315504
Enrollment ID: I20050603000140
Provider NameGeorge D Cherayil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952314049
PECOS PAC ID: 6002859758
Enrollment ID: I20050603000868
Provider NameSandhya Sureddi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124134655
PECOS PAC ID: 8729021472
Enrollment ID: I20050603000879
Provider NameMeenaxi Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932217155
PECOS PAC ID: 4587607866
Enrollment ID: I20050607001242
Provider NameJack A Tertadian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689780462
PECOS PAC ID: 6002859386
Enrollment ID: I20050607001264
Provider NameVikram Nangia
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1316914963
PECOS PAC ID: 3678516788
Enrollment ID: I20050608001029
Provider NameMichael J Marquart
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467436998
PECOS PAC ID: 7517900665
Enrollment ID: I20050609000141
Provider NameRyan T Hilbelink
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215963608
PECOS PAC ID: 4587607635
Enrollment ID: I20050609000165
Provider NameDavid S Stolp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538247051
PECOS PAC ID: 5991749731
Enrollment ID: I20050614000066
Provider NameJonathan E Jennings
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760419337
PECOS PAC ID: 3072557495
Enrollment ID: I20050616000618
Provider NameBrian P Mcsorley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053305706
PECOS PAC ID: 8022921725
Enrollment ID: I20050630000638
Provider NameDavid M Sherman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861570350
PECOS PAC ID: 6901842822
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Provider NameTryn A Gasiorowski
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396489746
PECOS PAC ID: 8426435421
Enrollment ID: I20220512001958
Provider NameLauren E Heaberlin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033503958
PECOS PAC ID: 1658758685
Enrollment ID: I20220513000363
Provider NameMargaret R Salinas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093141210
PECOS PAC ID: 6002047719
Enrollment ID: I20220520000967
Provider NameChelsea Lyn Livingston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275287948
PECOS PAC ID: 2365829777
Enrollment ID: I20220524000627
Provider NameKenneth A Lahrman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750822953
PECOS PAC ID: 4688051048
Enrollment ID: I20220524002745
Provider NameMolly S Peterson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346774726
PECOS PAC ID: 0941571152
Enrollment ID: I20220610000996
Provider NameJohn A Scherer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598151193
PECOS PAC ID: 8224326509
Enrollment ID: I20220614000093
Provider NameAlison E Wild
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881940104
PECOS PAC ID: 0941689608
Enrollment ID: I20220627001433
Provider NameEmily Ann Feather
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639792666
PECOS PAC ID: 7517348238
Enrollment ID: I20220713000236
Provider NameBennett S Serchen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770221459
PECOS PAC ID: 4981085628
Enrollment ID: I20220713000965
Provider NameJiahao Hu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902260433
PECOS PAC ID: 2668853235
Enrollment ID: I20220714001231
Provider NameSaivenkat H Vagvala
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831546571
PECOS PAC ID: 2860783891
Enrollment ID: I20220719000465
Provider NameZacharias P Zitterkopf
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023469186
PECOS PAC ID: 6002218989
Enrollment ID: I20220719002343
Provider NameJacob M Meleski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184285744
PECOS PAC ID: 2466833272
Enrollment ID: I20220725002135
Provider NameJoseph D Roehrkasse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760120570
PECOS PAC ID: 7810378668
Enrollment ID: I20220725003539
Provider NameEmily E Hurst
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376277509
PECOS PAC ID: 3476935073
Enrollment ID: I20220728002835
Provider NameStephanie Schoenleber
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1609301555
PECOS PAC ID: 7517237555
Enrollment ID: I20220729000681
Provider NameMercedes M Williams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558866079
PECOS PAC ID: 8123379583
Enrollment ID: I20220801001083
Provider NameNishant K Vaidy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841510492
PECOS PAC ID: 2163648767
Enrollment ID: I20220803000871
Provider NameJared Ludlow
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1306339643
PECOS PAC ID: 2961757547
Enrollment ID: I20220803001656
Provider NameJack Steiner
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1164926499
PECOS PAC ID: 8527471747
Enrollment ID: I20220809001503
Provider NameUmair Mubashar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083174528
PECOS PAC ID: 3173906658
Enrollment ID: I20220816002007
Provider NameHui Zhang
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1134581200
PECOS PAC ID: 1153615018
Enrollment ID: I20220818003320
Provider NameNicholas M Beaudrie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801391875
PECOS PAC ID: 8325395684
Enrollment ID: I20220824000549
Provider NameCarol E Soteropulos
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1831552041
PECOS PAC ID: 9032401880
Enrollment ID: I20220826002828
Provider NameAdam Y Sadik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679004956
PECOS PAC ID: 4880965029
Enrollment ID: I20220905000380
Provider NameDavid J Lucero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851027502
PECOS PAC ID: 4385028653
Enrollment ID: I20220906001258
Provider NameRaissa G Spencer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043973407
PECOS PAC ID: 1658755863
Enrollment ID: I20220907000344
Provider NameMolly O'hearn
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1649998832
PECOS PAC ID: 2769867530
Enrollment ID: I20220914002159
Provider NameKrista M Michel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902355795
PECOS PAC ID: 5496130288
Enrollment ID: I20220914003209
Provider NameAshley M Beadling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477939338
PECOS PAC ID: 6103126909
Enrollment ID: I20220915000055
Provider NameMischel Marie Marshall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1326160730
PECOS PAC ID: 6901281583
Enrollment ID: I20220919000108
Provider NameLacey Harrington
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1174987176
PECOS PAC ID: 1254668965
Enrollment ID: I20221028002256
Provider NameAdriana E Marciniak
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295406031
PECOS PAC ID: 1759758097
Enrollment ID: I20221031000537
Provider NameTimothy Yazzie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639218662
PECOS PAC ID: 1456448026
Enrollment ID: I20221031001051
Provider NameJay P Patel
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1275893281
PECOS PAC ID: 9032369384
Enrollment ID: I20221031001104
Provider NameJacquelyn A Kubiak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083157473
PECOS PAC ID: 5092182188
Enrollment ID: I20221102001311
Provider NameAlexandra M Cistaro
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1619640109
PECOS PAC ID: 2062889009
Enrollment ID: I20221104001023
Provider NameSumant Tumuluru
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215270285
PECOS PAC ID: 6204057250
Enrollment ID: I20221110001143
Provider NameNiral Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083845945
PECOS PAC ID: 4587815329
Enrollment ID: I20221116001044
Provider NameKaitlyn M Reinke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811486541
PECOS PAC ID: 9436528056
Enrollment ID: I20221202002454
Provider NameJennifer P Florentino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245638014
PECOS PAC ID: 0749505212
Enrollment ID: I20221214000083
Provider NameAmy J Connolly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841909504
PECOS PAC ID: 7012386014
Enrollment ID: I20221214001713
Provider NameKatherine L Pampuch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831800200
PECOS PAC ID: 2567831217
Enrollment ID: I20221220000528
Provider NameJennifer K Millisor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992475321
PECOS PAC ID: 9032589528
Enrollment ID: I20221227001390
Provider NameMelissa Kasbohm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356382659
PECOS PAC ID: 9931579463
Enrollment ID: I20221228000579
Provider NameJohanna L Pipia
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275191058
PECOS PAC ID: 5991175150
Enrollment ID: I20230104000513
Provider NameRyan J Smilanich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811619075
PECOS PAC ID: 4486025871
Enrollment ID: I20230123000964
Provider NameMaja I Kern
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194283580
PECOS PAC ID: 8123499464
Enrollment ID: I20230124000860
Provider NameKaitlyn M Larson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730819517
PECOS PAC ID: 9739550781
Enrollment ID: I20230130001790
Provider NameJacqueline M Karman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336852342
PECOS PAC ID: 3274904180
Enrollment ID: I20230131002241
Provider NameSandi J. Nath
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629233788
PECOS PAC ID: 3870965692
Enrollment ID: I20230203002089
Provider NameSteven F Wipijewski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407350556
PECOS PAC ID: 3971930520
Enrollment ID: I20230208001713
Provider NameJennifer L Pogodzinski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639626260
PECOS PAC ID: 9537531777
Enrollment ID: I20230215002926
Provider NameMichael Heiser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689304958
PECOS PAC ID: 0143693457
Enrollment ID: I20230308000753
Provider NameKathryn M Kalvestrand
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679288765
PECOS PAC ID: 5092189811
Enrollment ID: I20230317002247
Provider NameAlly Victoria Kellerman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558060285
PECOS PAC ID: 7719351535
Enrollment ID: I20230317002268
Provider NameClare E Zimmerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679270060
PECOS PAC ID: 2163896986
Enrollment ID: I20230317002370
Provider NameDavid S Rayan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194287870
PECOS PAC ID: 0840626149
Enrollment ID: I20230505000530
Provider NameMartin P. Kasofsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598783722
PECOS PAC ID: 4183665284
Enrollment ID: I20230511001845
Provider NameNicholas D Nassif
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427675230
PECOS PAC ID: 6204292824
Enrollment ID: I20230523002935
Provider NameKeshav M Menon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669816658
PECOS PAC ID: 7416198700
Enrollment ID: I20230606002753
Provider NameAmy S Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083758999
PECOS PAC ID: 3274990080
Enrollment ID: I20230609003011
Provider NameEmily J Churchill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881392165
PECOS PAC ID: 1951768639
Enrollment ID: I20230612002050
Provider NameLisa A Kommer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649472838
PECOS PAC ID: 2769849314
Enrollment ID: I20230613001584
Provider NameSyed F Hussaini
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770014847
PECOS PAC ID: 3375888985
Enrollment ID: I20230614001379
Provider NameAmy Crowder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831164342
PECOS PAC ID: 3072590249
Enrollment ID: I20230622001467
Provider NameMichael K Knight
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134899248
PECOS PAC ID: 8022478676
Enrollment ID: I20230714001712
Provider NameMartha Holterman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508598152
PECOS PAC ID: 8820458292
Enrollment ID: I20230717002185
Provider NameDylan G Washkuhn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174217467
PECOS PAC ID: 2961863808
Enrollment ID: I20230725003275
Provider NameAdil Ghafoor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689109126
PECOS PAC ID: 0345519013
Enrollment ID: I20230727001529
Provider NameRachel L Sipple
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679205181
PECOS PAC ID: 1254792872
Enrollment ID: I20230731000453
Provider NameSara Gurda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689359457
PECOS PAC ID: 2163883554
Enrollment ID: I20230801004496
Provider NameAmjed Zidan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538621321
PECOS PAC ID: 7416280201
Enrollment ID: I20230809002890
Provider NameStacey L Rooker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093065062
PECOS PAC ID: 8325400138
Enrollment ID: I20230810002916
Provider NameKristen E Garey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487331187
PECOS PAC ID: 0143683029
Enrollment ID: I20230824002799
Provider NameJenna M Sarantakos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790309508
PECOS PAC ID: 1850715848
Enrollment ID: I20230911001194
Provider NameAmber N Kieck
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780128124
PECOS PAC ID: 4486018942
Enrollment ID: I20230915003252
Provider NameVallikantha Nellaiappan
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1548557812
PECOS PAC ID: 8022250042
Enrollment ID: I20230918002859
Provider NameAdam Y Pfaller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922667575
PECOS PAC ID: 8224366174
Enrollment ID: I20230920000742
Provider NameAgnes S Prospere
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083241301
PECOS PAC ID: 0749665008
Enrollment ID: I20230920001322
Provider NameJacquelyn Marie Spring
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669091807
PECOS PAC ID: 6406201334
Enrollment ID: I20231012004007
Provider NameAnand S Brahmamdam
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063830784
PECOS PAC ID: 6800129511
Enrollment ID: I20231026001324
Provider NameAnna Tai Malone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033892237
PECOS PAC ID: 2769838481
Enrollment ID: I20231031003288
Provider NameCharl Khalil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851755375
PECOS PAC ID: 3870830169
Enrollment ID: I20231102000896
Provider NameSarah A Devcich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851174114
PECOS PAC ID: 9537516117
Enrollment ID: I20231104000268
Provider NameKelsey R Gerena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477326536
PECOS PAC ID: 7517315179
Enrollment ID: I20231121001734
Provider NameAnne Marie Gongola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669637708
PECOS PAC ID: 4789032228
Enrollment ID: I20231122001231
Provider NameJohnathan Brett Reddick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245988781
PECOS PAC ID: 9537555735
Enrollment ID: I20231211001768
Provider NameJacob R Mcchrystal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184335366
PECOS PAC ID: 9032569900
Enrollment ID: I20231219002688
Provider NameKyla R Phu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083076798
PECOS PAC ID: 1153603121
Enrollment ID: I20231219002981
Provider NameMelody Mumford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629242078
PECOS PAC ID: 2365609674
Enrollment ID: I20231220002087
Provider NameRyanne Nicole Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497434401
PECOS PAC ID: 9032560545
Enrollment ID: I20240109003908
Provider NameCaroline Zehren
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376273961
PECOS PAC ID: 2466803788
Enrollment ID: I20240110004026
Provider NameAswin Kumar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629469382
PECOS PAC ID: 5799184628
Enrollment ID: I20240123002559
Provider NameKelsey A Thompson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033810510
PECOS PAC ID: 6901258136
Enrollment ID: I20240123003476
Provider NameKristen Kelly Frederiksen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093409997
PECOS PAC ID: 7012360753
Enrollment ID: I20240129003530
Provider NameHolly B Moran
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811779390
PECOS PAC ID: 9830532852
Enrollment ID: I20240207000677
Provider NameApril Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073092979
PECOS PAC ID: 0345592440
Enrollment ID: I20240208003876
Provider NameMolly Schulteis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760243992
PECOS PAC ID: 0749623361
Enrollment ID: I20240209002850
Provider NameRaquel Rodriguez Martinez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700240603
PECOS PAC ID: 3072869700
Enrollment ID: I20240220002428
Provider NameRichard Eugene Eccles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053525014
PECOS PAC ID: 1052581501
Enrollment ID: I20240227001723
Provider NameAaliyah Camille Dorsey-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700400488
PECOS PAC ID: 1759727159
Enrollment ID: I20240307002889
Provider NameHannah E Sugden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346001575
PECOS PAC ID: 1850737099
Enrollment ID: I20240311003041
Provider NameAmel Tobaa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578026340
PECOS PAC ID: 4082051909
Enrollment ID: I20240327000329
Provider NamePaul D Facchiano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023897998
PECOS PAC ID: 5597103028
Enrollment ID: I20240403002309
Provider NameVan T Phan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386406247
PECOS PAC ID: 9739528431
Enrollment ID: I20240415000987
Provider NameCaylee A Koker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316529217
PECOS PAC ID: 5496195190
Enrollment ID: I20240429001835
Provider NameNicole A Raczynski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922858547
PECOS PAC ID: 9032550025
Enrollment ID: I20240508001181
Provider NameAlohani L Maya Cureno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184399040
PECOS PAC ID: 7618365925
Enrollment ID: I20240509001355
Provider NameDebra B Yahr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821545674
PECOS PAC ID: 5597207134
Enrollment ID: I20240611000714

Reviews and Comments


Family Medicine in Saint Francis, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.