| Prevea Health | |
|
900 W Clairemont Ave Eau Claire WI 54701-6122 | |
| (715) 717-4131 | |
| Not Available |
| Full Name | Prevea Health |
|---|---|
| Speciality | Family Medicine |
| Location | 900 W Clairemont Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Patricia Allen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9204964700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevea Health Po Box 19070 Green Bay WI 54307-9070 Ph: (920) 496-4700 | Prevea Health 900 W Clairemont Ave Eau Claire WI 54701-6122 Ph: (715) 717-4131 |
| NPI Number | 1619355351 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 8729072418 |
|---|---|
| Medicare Enrollment ID | O20150814013380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619355351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | William E Cayley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053340067 PECOS PAC ID: 7416855523 Enrollment ID: I20031229000321 |
| Provider Name | David J Helland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609972249 PECOS PAC ID: 1951396696 Enrollment ID: I20040420000850 |
| Provider Name | Karl Stien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104872092 PECOS PAC ID: 1759360605 Enrollment ID: I20040715000448 |
| Provider Name | Jill Anne Hasenberg-gindt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235144031 PECOS PAC ID: 5092788430 Enrollment ID: I20040816000025 |
| Provider Name | Gregg Horras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811903842 PECOS PAC ID: 8628046661 Enrollment ID: I20040917001043 |
| Provider Name | Fuad E Zankoul |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770100489 PECOS PAC ID: 6204804677 Enrollment ID: I20040923000034 |
| Provider Name | Kenneth M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366486458 PECOS PAC ID: 3971490202 Enrollment ID: I20041012000289 |
| Provider Name | Michael Case |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497750459 PECOS PAC ID: 3779546155 Enrollment ID: I20041106000055 |
| Provider Name | Cassandra J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679709117 PECOS PAC ID: 3476518556 Enrollment ID: I20041130001107 |
| Provider Name | Naghma S Husain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265528251 PECOS PAC ID: 1456309780 Enrollment ID: I20050104000425 |
| Provider Name | Terence S Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679506091 PECOS PAC ID: 0547202194 Enrollment ID: I20050524001335 |
| Provider Name | Lauren M Nelson Bobb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598805210 PECOS PAC ID: 2860425295 Enrollment ID: I20050915000463 |
| Provider Name | Robert D Moyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699791368 PECOS PAC ID: 1153355615 Enrollment ID: I20050923000306 |
| Provider Name | Ashok N Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447276985 PECOS PAC ID: 6103850672 Enrollment ID: I20050923000349 |
| Provider Name | James J Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659327542 PECOS PAC ID: 8426962572 Enrollment ID: I20051012001046 |
| Provider Name | Benjamin M Whitis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487600367 PECOS PAC ID: 7517853013 Enrollment ID: I20051013000490 |
| Provider Name | Mark A Augustyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013963909 PECOS PAC ID: 5395760888 Enrollment ID: I20051013000595 |
| Provider Name | Peter S Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306892161 PECOS PAC ID: 6507752011 Enrollment ID: I20051013000721 |
| Provider Name | Dhimant R Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851330120 PECOS PAC ID: 7810914397 Enrollment ID: I20051025000547 |
| Provider Name | John C Stien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922054816 PECOS PAC ID: 4880508944 Enrollment ID: I20051025000600 |
| Provider Name | Lance W. Weagant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881671790 PECOS PAC ID: 7012937550 Enrollment ID: I20051129001081 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649273400 PECOS PAC ID: 6002726098 Enrollment ID: I20060406000435 |
| Provider Name | Benjamin G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437111739 PECOS PAC ID: 2567474950 Enrollment ID: I20060629000397 |
| Provider Name | Mark R Southard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003868811 PECOS PAC ID: 7012929417 Enrollment ID: I20060630000059 |
| Provider Name | Margery Howard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457326985 PECOS PAC ID: 6406853878 Enrollment ID: I20061026000565 |
| Provider Name | Jaclyn B Wirkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437256880 PECOS PAC ID: 2466459672 Enrollment ID: I20061101000259 |
| Provider Name | Victoria L Vande Zande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083711279 PECOS PAC ID: 1658373550 Enrollment ID: I20070206000341 |
| Provider Name | Oludayo O Sarumi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598872798 PECOS PAC ID: 5294837381 Enrollment ID: I20070220000480 |
| Provider Name | Steven W Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386609915 PECOS PAC ID: 7113029612 Enrollment ID: I20070302000025 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Kerry A Burnside |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891900288 PECOS PAC ID: 3870684608 Enrollment ID: I20070809000024 |
| Provider Name | Emily J Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811196637 PECOS PAC ID: 9830281096 Enrollment ID: I20070817000650 |
| Provider Name | Laura A Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811977929 PECOS PAC ID: 8224120167 Enrollment ID: I20070822001442 |
| Provider Name | Brian N Pauley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730137654 PECOS PAC ID: 2466549530 Enrollment ID: I20071106000656 |
| Provider Name | Andrea T Dangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154514925 PECOS PAC ID: 2668560525 Enrollment ID: I20071112000192 |
| Provider Name | Mihailo Lalich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744652 PECOS PAC ID: 1355435959 Enrollment ID: I20080107000144 |
| Provider Name | Claudia L Altmann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386691756 PECOS PAC ID: 7113008681 Enrollment ID: I20080123000098 |
| Provider Name | Jessica E Erickson-michels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336344985 PECOS PAC ID: 8527139682 Enrollment ID: I20080617000326 |
| Provider Name | Jacques C Tham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942461504 PECOS PAC ID: 9335213420 Enrollment ID: I20080807000516 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Julie L Kammerud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780845875 PECOS PAC ID: 5698842797 Enrollment ID: I20080915000577 |
| Provider Name | Mary Lynn Van Vonderen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225280050 PECOS PAC ID: 7214097294 Enrollment ID: I20081120000507 |
| Provider Name | Craig Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275506073 PECOS PAC ID: 9638233844 Enrollment ID: I20090203000652 |
| Provider Name | Melanie M Eggebrecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598753709 PECOS PAC ID: 8921164849 Enrollment ID: I20090302000296 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Steven D Turzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154340727 PECOS PAC ID: 7113072927 Enrollment ID: I20090831000492 |
| Provider Name | Erich G Metzler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770516981 PECOS PAC ID: 2769537182 Enrollment ID: I20090908000299 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207586 PECOS PAC ID: 9638268865 Enrollment ID: I20090914000419 |
| Provider Name | Scott M Hunt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467478255 PECOS PAC ID: 7618023623 Enrollment ID: I20090916000444 |
| Provider Name | James R Clemens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871519900 PECOS PAC ID: 8628114782 Enrollment ID: I20091005000343 |
| Provider Name | Joan E Hamblin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801836549 PECOS PAC ID: 4486783453 Enrollment ID: I20100601000327 |
| Provider Name | Mark D Gideonsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841236445 PECOS PAC ID: 7012047830 Enrollment ID: I20100604000597 |
| Provider Name | Jennifer J Eddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134151319 PECOS PAC ID: 0941330765 Enrollment ID: I20100604000703 |
| Provider Name | Deborah A Raehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154350056 PECOS PAC ID: 8729118575 Enrollment ID: I20100604001050 |
| Provider Name | Jacey T Graser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699874016 PECOS PAC ID: 4688706575 Enrollment ID: I20100712000523 |
| Provider Name | Denise Kniprath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962436162 PECOS PAC ID: 8921132762 Enrollment ID: I20100817000067 |
| Provider Name | Norris A Norman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245473172 PECOS PAC ID: 7810021482 Enrollment ID: I20100818000289 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Nadine E Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609992536 PECOS PAC ID: 3577755164 Enrollment ID: I20101014000964 |
| Provider Name | Jan Stauss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952449597 PECOS PAC ID: 5799818118 Enrollment ID: I20101015001037 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | Corina L Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912224411 PECOS PAC ID: 2769676147 Enrollment ID: I20101029000604 |
| Provider Name | Albert Cecchini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588639256 PECOS PAC ID: 4385685874 Enrollment ID: I20101217000498 |
| Provider Name | Robert G Zick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376586834 PECOS PAC ID: 3870593460 Enrollment ID: I20110127001097 |
| Provider Name | Kristin L Rubenzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003124819 PECOS PAC ID: 7214118512 Enrollment ID: I20110218001005 |
| Provider Name | Wells I Mangrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871768457 PECOS PAC ID: 1850576620 Enrollment ID: I20110421000588 |
| Provider Name | Jennifer M Donahue |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538472865 PECOS PAC ID: 7315124559 Enrollment ID: I20110615000627 |
| Provider Name | Mini Sivadasan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336330570 PECOS PAC ID: 0941496707 Enrollment ID: I20110713000514 |
| Provider Name | Bradley A Locke |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336300276 PECOS PAC ID: 1951579986 Enrollment ID: I20110719000328 |
| Provider Name | Sara L Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467658302 PECOS PAC ID: 2264600154 Enrollment ID: I20110720000312 |
| Provider Name | Stacie R Zais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356639611 PECOS PAC ID: 3173792405 Enrollment ID: I20110803000216 |
| Provider Name | Butch Terence D Geroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861790388 PECOS PAC ID: 1557530417 Enrollment ID: I20110810000032 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Kelli Allen Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730452152 PECOS PAC ID: 6800056979 Enrollment ID: I20120327000715 |
| Provider Name | Shawna S Lee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568779296 PECOS PAC ID: 9931360468 Enrollment ID: I20120410000692 |
| Provider Name | Bethany L Ellwanger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952672701 PECOS PAC ID: 1759543721 Enrollment ID: I20120509000146 |
| Provider Name | Cheong Jun Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699851915 PECOS PAC ID: 4082860861 Enrollment ID: I20120809000836 |
| Provider Name | Jeffrey Shaw |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124083712 PECOS PAC ID: 8628105160 Enrollment ID: I20121009000293 |
| Provider Name | Brittany P Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295015394 PECOS PAC ID: 3476702267 Enrollment ID: I20121011000692 |
| Provider Name | Kristine M Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568660959 PECOS PAC ID: 6406949957 Enrollment ID: I20121226000424 |
| Provider Name | Sarah P Reiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366795700 PECOS PAC ID: 7719130228 Enrollment ID: I20130114000078 |
| Provider Name | Naciye Kalafat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861459612 PECOS PAC ID: 4688670755 Enrollment ID: I20130703000665 |
| Provider Name | Bethany B Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871850289 PECOS PAC ID: 8123284023 Enrollment ID: I20130705000247 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Amy L Van Gheem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649407412 PECOS PAC ID: 9739323833 Enrollment ID: I20130911000183 |
| Provider Name | Amy L Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255760625 PECOS PAC ID: 0648406447 Enrollment ID: I20131127001104 |
| Provider Name | Eva Normann Christensen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558598441 PECOS PAC ID: 6406070135 Enrollment ID: I20140618002290 |
| Provider Name | Jan G Mrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679607212 PECOS PAC ID: 5597717686 Enrollment ID: I20140703001881 |
| Provider Name | Beth A Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336109123 PECOS PAC ID: 0345249348 Enrollment ID: I20140814000540 |
| Provider Name | Chad J Kritzberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962798231 PECOS PAC ID: 8022237809 Enrollment ID: I20140909001628 |
| Provider Name | Jennifer A Milosavljevic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972673325 PECOS PAC ID: 1658466784 Enrollment ID: I20141105001378 |
| Provider Name | Heather M Krieger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972909141 PECOS PAC ID: 5991927725 Enrollment ID: I20141112000811 |
| Provider Name | Nicole L Kulwicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730583113 PECOS PAC ID: 8527380575 Enrollment ID: I20141203000432 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Ghulam Murtaza |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528294329 PECOS PAC ID: 8325352628 Enrollment ID: I20150730012805 |
| Provider Name | Gil Freeman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508065095 PECOS PAC ID: 6002063930 Enrollment ID: I20151027002130 |
| Provider Name | Emily C Teetzen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225400435 PECOS PAC ID: 8628378320 Enrollment ID: I20151202001975 |
| Provider Name | Lukasz S Babiarz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346476066 PECOS PAC ID: 5395994503 Enrollment ID: I20160112000009 |
| Provider Name | James M Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174628374 PECOS PAC ID: 9133396864 Enrollment ID: I20160215001184 |
| Provider Name | Michael G Braunsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861811499 PECOS PAC ID: 5698081891 Enrollment ID: I20160316002265 |
| Provider Name | Kari R King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295168490 PECOS PAC ID: 6305072653 Enrollment ID: I20160517001847 |
| Provider Name | Heidi Marie Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396012019 PECOS PAC ID: 5395905509 Enrollment ID: I20160902001573 |
| Provider Name | Linda Go |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1942406087 PECOS PAC ID: 2769782085 Enrollment ID: I20161018002735 |
| Provider Name | Angela R Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326419300 PECOS PAC ID: 4789964875 Enrollment ID: I20161207000695 |
| Provider Name | Matthew Tomcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053606095 PECOS PAC ID: 0749428720 Enrollment ID: I20170113000043 |
| Provider Name | Kimberly M Neal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023483294 PECOS PAC ID: 6507140415 Enrollment ID: I20170221000889 |
| Provider Name | Kristi Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861546186 PECOS PAC ID: 6608948849 Enrollment ID: I20170323002795 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Kelsey Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376071779 PECOS PAC ID: 9133492002 Enrollment ID: I20170829002730 |
| Provider Name | Michael S Oldenburg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770847683 PECOS PAC ID: 2769629526 Enrollment ID: I20170929002292 |
| Provider Name | Varoon R Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20171002001834 |
| Provider Name | Michael J Gilboy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083139398 PECOS PAC ID: 1557629623 Enrollment ID: I20171219000013 |
| Provider Name | Michelle C Perlick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104274240 PECOS PAC ID: 0840580973 Enrollment ID: I20180220000719 |
| Provider Name | Samantha Albrecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366793614 PECOS PAC ID: 0648533448 Enrollment ID: I20180409001392 |
| Provider Name | Jason Richard Bydash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669628632 PECOS PAC ID: 4385782531 Enrollment ID: I20180502001171 |
| Provider Name | Patricia B Marsnik |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770774325 PECOS PAC ID: 7517222409 Enrollment ID: I20180524000033 |
| Provider Name | Mary A Oconnell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144411497 PECOS PAC ID: 5193080729 Enrollment ID: I20180531000566 |
| Provider Name | Shannon S Birkholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174058416 PECOS PAC ID: 0042575623 Enrollment ID: I20180601000041 |
| Provider Name | Beth A Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821289091 PECOS PAC ID: 7719242312 Enrollment ID: I20180601000838 |
| Provider Name | Katelyn Rose Rudolph |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477818201 PECOS PAC ID: 7214292713 Enrollment ID: I20180605000433 |
| Provider Name | Melissa M. Long |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821283615 PECOS PAC ID: 4981969391 Enrollment ID: I20180605001350 |
| Provider Name | Linda M Benson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952592826 PECOS PAC ID: 7113282526 Enrollment ID: I20180605001607 |
| Provider Name | Deborah Currie Hebert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497010680 PECOS PAC ID: 7113282542 Enrollment ID: I20180605002660 |
| Provider Name | Annmarie C Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508906231 PECOS PAC ID: 7911262381 Enrollment ID: I20180606000707 |
| Provider Name | Matthew P Schuette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134654502 PECOS PAC ID: 3072878362 Enrollment ID: I20180608000105 |
| Provider Name | Monique T Collette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386839173 PECOS PAC ID: 9133474273 Enrollment ID: I20180613003442 |
| Provider Name | Nadene L Edland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790210748 PECOS PAC ID: 6103171137 Enrollment ID: I20180615001128 |
| Provider Name | Jennifer R Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275724429 PECOS PAC ID: 8224383757 Enrollment ID: I20180625000322 |
| Provider Name | Linda K Odness |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164911087 PECOS PAC ID: 2860749454 Enrollment ID: I20180730000150 |
| Provider Name | Benjamin C Jordan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922393396 PECOS PAC ID: 2264689033 Enrollment ID: I20180827000102 |
| Provider Name | Jessica J Leszczynski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881014561 PECOS PAC ID: 5193034940 Enrollment ID: I20180907000678 |
| Provider Name | Catherine Holland Andrade |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538687991 PECOS PAC ID: 6406106731 Enrollment ID: I20180907001990 |
| Provider Name | Lindsey N Zwaschka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047363 PECOS PAC ID: 9436409653 Enrollment ID: I20180910002789 |
| Provider Name | Lauren A Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213445 PECOS PAC ID: 3678824992 Enrollment ID: I20180926002017 |
| Provider Name | Steven I Levin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720064207 PECOS PAC ID: 6406870096 Enrollment ID: I20181017000119 |
| Provider Name | Danielle M Helmick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235663030 PECOS PAC ID: 8022389113 Enrollment ID: I20181127003116 |
| Provider Name | Courtney L Christensen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699243170 PECOS PAC ID: 5799029880 Enrollment ID: I20181129003331 |
| Provider Name | Brittany D Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119214 PECOS PAC ID: 6800131665 Enrollment ID: I20181224000034 |
| Provider Name | Eric Richard Spears |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154739118 PECOS PAC ID: 6800143074 Enrollment ID: I20190211001129 |
| Provider Name | Drake Allen Kessler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023575065 PECOS PAC ID: 0547500985 Enrollment ID: I20190320003185 |
| Provider Name | Niriksha Chandrani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477562478 PECOS PAC ID: 6305831397 Enrollment ID: I20190425001573 |
| Provider Name | Breanna L Zahurones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184195463 PECOS PAC ID: 5890038178 Enrollment ID: I20190530001979 |
| Provider Name | Kayla M Francken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316506041 PECOS PAC ID: 7911231758 Enrollment ID: I20190627001215 |
| Provider Name | Katherine G French |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164083655 PECOS PAC ID: 8325374598 Enrollment ID: I20190725001323 |
| Provider Name | Allison M Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013368125 PECOS PAC ID: 3476849332 Enrollment ID: I20190731000124 |
| Provider Name | Kimberly M Finlan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831741180 PECOS PAC ID: 3971839648 Enrollment ID: I20190802000092 |
| Provider Name | Nicholas M Dewerd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568021004 PECOS PAC ID: 7911233606 Enrollment ID: I20190802000821 |
| Provider Name | Katie J Udenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699121384 PECOS PAC ID: 2062709389 Enrollment ID: I20190802002416 |
| Provider Name | Jacob M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689055154 PECOS PAC ID: 1254633118 Enrollment ID: I20190813002339 |
| Provider Name | Brian P Bye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760828263 PECOS PAC ID: 3274774609 Enrollment ID: I20190823000227 |
| Provider Name | Marco Naguib |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922114826 PECOS PAC ID: 8527065465 Enrollment ID: I20190830001204 |
| Provider Name | Amanda M Crabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467004887 PECOS PAC ID: 0547599946 Enrollment ID: I20190910003647 |
| Provider Name | Melissa A Salmonson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588218291 PECOS PAC ID: 7012249618 Enrollment ID: I20191031001980 |
| Provider Name | Lindsay B Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720434103 PECOS PAC ID: 0547552341 Enrollment ID: I20191121001776 |
| Provider Name | Crystal V Getchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174168900 PECOS PAC ID: 5698109494 Enrollment ID: I20200103001026 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200227001903 |
| Provider Name | Heather Anne Hall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346468105 PECOS PAC ID: 3678744570 Enrollment ID: I20200228001607 |
| Provider Name | Katrina V Victoria |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972899649 PECOS PAC ID: 4284876269 Enrollment ID: I20200317002369 |
| Provider Name | Kelsey L Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093165847 PECOS PAC ID: 9133557291 Enrollment ID: I20200324001205 |
| Provider Name | Kelsey S Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679026942 PECOS PAC ID: 5395173462 Enrollment ID: I20200324001373 |
| Provider Name | Vibhu R Kshettry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427011352 PECOS PAC ID: 6709939093 Enrollment ID: I20200327001510 |
| Provider Name | Samuel J Durham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467459040 PECOS PAC ID: 3678628955 Enrollment ID: I20200402001231 |
| Provider Name | Bartlett J Witherspoon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295717973 PECOS PAC ID: 1456259407 Enrollment ID: I20200403001676 |
| Provider Name | Jason E Heinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077885 PECOS PAC ID: 6608206131 Enrollment ID: I20200423001009 |
| Provider Name | Vijay Phooshkooru Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982725180 PECOS PAC ID: 7810095007 Enrollment ID: I20200522002580 |
| Provider Name | Jessica M Clauson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639718141 PECOS PAC ID: 9537580188 Enrollment ID: I20200605002358 |
| Provider Name | Shaneel S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740419662 PECOS PAC ID: 2466750062 Enrollment ID: I20200608002467 |
| Provider Name | Berkin O Ulgen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982960191 PECOS PAC ID: 5092003715 Enrollment ID: I20200625001077 |
| Provider Name | Lauren I Useem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639520414 PECOS PAC ID: 6002108131 Enrollment ID: I20200806001351 |
| Provider Name | Sindhu Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871710483 PECOS PAC ID: 4082860663 Enrollment ID: I20200810000541 |
| Provider Name | Leif E Magnusson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942649751 PECOS PAC ID: 4183857311 Enrollment ID: I20200811002873 |
| Provider Name | Charles W Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386178184 PECOS PAC ID: 1355612425 Enrollment ID: I20200814000966 |
| Provider Name | Gregory P Harbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679558290 PECOS PAC ID: 5294889028 Enrollment ID: I20200910000082 |
| Provider Name | Przemyslaw M Kamien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740309418 PECOS PAC ID: 9234222878 Enrollment ID: I20200917002043 |
| Provider Name | Maureen Muecke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689600579 PECOS PAC ID: 4284626110 Enrollment ID: I20201103000254 |
| Provider Name | Caitlin W Hicks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356607139 PECOS PAC ID: 0648428029 Enrollment ID: I20201116000520 |
| Provider Name | Brittany Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194969733 PECOS PAC ID: 7315163409 Enrollment ID: I20201201002322 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
| Provider Name | Alan M Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366794612 PECOS PAC ID: 5799085064 Enrollment ID: I20210120001664 |
| Provider Name | Jennifer A Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801159264 PECOS PAC ID: 3971732223 Enrollment ID: I20210127000029 |
| Provider Name | Hisham S Bassiouny |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801951637 PECOS PAC ID: 1557619459 Enrollment ID: I20210202001501 |
| Provider Name | Frazier Eales |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881658532 PECOS PAC ID: 6709788755 Enrollment ID: I20210209000777 |
| Provider Name | Dane B Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790164770 PECOS PAC ID: 4183930704 Enrollment ID: I20210211001399 |
| Provider Name | Judith W Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20210219001916 |
| Provider Name | Michael T Charlton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588655799 PECOS PAC ID: 2466547096 Enrollment ID: I20210226002209 |
| Provider Name | Courtney Anne Hill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295026540 PECOS PAC ID: 3779881776 Enrollment ID: I20210305001812 |
| Provider Name | Melissa A Zimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639786213 PECOS PAC ID: 3476969015 Enrollment ID: I20210308000327 |
| Provider Name | Mark Robert Keaton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20210309002824 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20210511000378 |
| Provider Name | Brenda K Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083658157 PECOS PAC ID: 2365772290 Enrollment ID: I20210621000819 |
| Provider Name | Jaya Sonkar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871976563 PECOS PAC ID: 0840546370 Enrollment ID: I20210630001066 |
| Provider Name | Chelsey M Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992201750 PECOS PAC ID: 6002170081 Enrollment ID: I20210707003164 |
| Provider Name | Dylan T Timberlake |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730574328 PECOS PAC ID: 9133474562 Enrollment ID: I20210713002090 |
| Provider Name | Rebecca L Gehrmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841797594 PECOS PAC ID: 3072861301 Enrollment ID: I20210715003347 |
| Provider Name | Kayley A Eslinger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538741673 PECOS PAC ID: 3870995517 Enrollment ID: I20210716002244 |
| Provider Name | Mai Abdelnabi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013394980 PECOS PAC ID: 8628385499 Enrollment ID: I20210726002252 |
| Provider Name | Bradley J Paus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265929491 PECOS PAC ID: 8527323914 Enrollment ID: I20210804000854 |
| Provider Name | Jens C Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275980989 PECOS PAC ID: 6709170145 Enrollment ID: I20210810002691 |
| Provider Name | Indigo Y Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740638535 PECOS PAC ID: 0042598468 Enrollment ID: I20210816001049 |
| Provider Name | Maria Liquete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942266580 PECOS PAC ID: 4385670298 Enrollment ID: I20210817000021 |
| Provider Name | Samantha J Runstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548758766 PECOS PAC ID: 8729335674 Enrollment ID: I20210903001900 |
| Provider Name | Richard B Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205812948 PECOS PAC ID: 9830271865 Enrollment ID: I20211007003547 |
| Provider Name | Chanrachna Ladin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457707572 PECOS PAC ID: 2668764697 Enrollment ID: I20211103000418 |
| Provider Name | Taylor Leslie Barnett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487091005 PECOS PAC ID: 1456787993 Enrollment ID: I20211103001499 |
| Provider Name | Ashley L Bleskachek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033498001 PECOS PAC ID: 8325438740 Enrollment ID: I20211129001835 |
| Provider Name | Kasra Badiozamani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194833780 PECOS PAC ID: 6709871247 Enrollment ID: I20220202000026 |
| Provider Name | Kaley F C Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699433649 PECOS PAC ID: 3375936552 Enrollment ID: I20220210002504 |
| Provider Name | Bryan M Armitage |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952538316 PECOS PAC ID: 8325353733 Enrollment ID: I20220214000894 |
| Provider Name | Jeremiah R Kakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710507918 PECOS PAC ID: 7810310174 Enrollment ID: I20220218000703 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20220314001593 |
| Provider Name | Arun J Kottarathara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568852838 PECOS PAC ID: 9436429800 Enrollment ID: I20220314001812 |
| Provider Name | Anubhav Kanwar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952665788 PECOS PAC ID: 6406079326 Enrollment ID: I20220316000802 |
| Provider Name | Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568678225 PECOS PAC ID: 5496853673 Enrollment ID: I20220322001459 |
| Provider Name | Julia C Ryder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619624178 PECOS PAC ID: 0547647703 Enrollment ID: I20220510001441 |
| Provider Name | Nancy Roberts Malek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568424653 PECOS PAC ID: 0244274108 Enrollment ID: I20220609001554 |
| Provider Name | Christopher Lynch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710474879 PECOS PAC ID: 5395070411 Enrollment ID: I20220712000667 |
| Provider Name | Rathel L Nolan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629004502 PECOS PAC ID: 1759470180 Enrollment ID: I20220725002266 |
| Provider Name | Yousaf Ajam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841713088 PECOS PAC ID: 9032592993 Enrollment ID: I20220810002727 |
| Provider Name | Apoorva Jayarangaiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396186458 PECOS PAC ID: 1759603277 Enrollment ID: I20220810003043 |
| Provider Name | Lindsey M Morley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801532262 PECOS PAC ID: 2163805557 Enrollment ID: I20220817003486 |
| Provider Name | Alyssa M Wanner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356071971 PECOS PAC ID: 0244613529 Enrollment ID: I20220818003556 |
| Provider Name | Rachel P Chenoweth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840308 PECOS PAC ID: 6608250808 Enrollment ID: I20220907003866 |
| Provider Name | Zachariah J Seelman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801376397 PECOS PAC ID: 6709261605 Enrollment ID: I20220913002612 |
| Provider Name | Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235177098 PECOS PAC ID: 7517971989 Enrollment ID: I20221114001909 |
| Provider Name | Sarfaraz Hasni |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679541502 PECOS PAC ID: 6002889359 Enrollment ID: I20221205001247 |
| Provider Name | Ashley Hakes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417180084 PECOS PAC ID: 6002286275 Enrollment ID: I20230104000942 |
| Provider Name | Lia Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356068662 PECOS PAC ID: 8527439736 Enrollment ID: I20230126002269 |
| Provider Name | Jyoti K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205037595 PECOS PAC ID: 3274710603 Enrollment ID: I20230209001504 |
| Provider Name | Elizabeth L Rau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053027847 PECOS PAC ID: 1658744164 Enrollment ID: I20230303001380 |
| Provider Name | Ashley M Regimbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831819036 PECOS PAC ID: 1254796246 Enrollment ID: I20230426001691 |
| Provider Name | Michael Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588835185 PECOS PAC ID: 8921286626 Enrollment ID: I20230518002857 |
| Provider Name | Annah R Kronberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851997423 PECOS PAC ID: 2668839028 Enrollment ID: I20230531001702 |
| Provider Name | Brian W Gunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255497640 PECOS PAC ID: 0547351769 Enrollment ID: I20230712002517 |
| Provider Name | Brooke J Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629761820 PECOS PAC ID: 9436510567 Enrollment ID: I20230804001520 |
| Provider Name | Lauren Burns |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639776859 PECOS PAC ID: 1254792286 Enrollment ID: I20230807002166 |
| Provider Name | Samantha Vouyiouklis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417577610 PECOS PAC ID: 7719300888 Enrollment ID: I20230807003351 |
| Provider Name | Bethany M Geske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164118659 PECOS PAC ID: 7719349513 Enrollment ID: I20230810002160 |
| Provider Name | Jaclyn T Peissig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790471332 PECOS PAC ID: 2466816624 Enrollment ID: I20230907000658 |
| Provider Name | Brooke Nicole Kopacz Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639954787 PECOS PAC ID: 7719331719 Enrollment ID: I20230925002961 |
| Provider Name | Amber R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174308019 PECOS PAC ID: 2062868748 Enrollment ID: I20231101001913 |
| Provider Name | Thomas I. Sweet |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1164581732 PECOS PAC ID: 5991875841 Enrollment ID: I20231220003852 |
| Provider Name | Jeni L Gronemus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669544649 PECOS PAC ID: 6507216090 Enrollment ID: I20231226000561 |
| Provider Name | Jenna R Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174284848 PECOS PAC ID: 2567812076 Enrollment ID: I20231226001135 |
| Provider Name | Jenna L Mckeefry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942708177 PECOS PAC ID: 5890145304 Enrollment ID: I20231226001257 |
| Provider Name | Matthew J Dux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518676402 PECOS PAC ID: 7416307921 Enrollment ID: I20231226001308 |
| Provider Name | Lindsey L Field |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508294885 PECOS PAC ID: 9931550852 Enrollment ID: I20240104003175 |
| Provider Name | Pamela K Kraus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356755805 PECOS PAC ID: 1850742610 Enrollment ID: I20240105003760 |
| Provider Name | Tracy R Kleingartner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386988566 PECOS PAC ID: 6709237464 Enrollment ID: I20240105004007 |
| Provider Name | Katie J Plotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497046825 PECOS PAC ID: 5395196067 Enrollment ID: I20240106000207 |
| Provider Name | Angela M Pedretti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093930455 PECOS PAC ID: 4587015730 Enrollment ID: I20240111003959 |
| Provider Name | Courtney L Hovland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275839540 PECOS PAC ID: 0547612657 Enrollment ID: I20240113000313 |
| Provider Name | Sarah E Bodeau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033452719 PECOS PAC ID: 5395197438 Enrollment ID: I20240115000253 |
| Provider Name | Michaela Livingston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801364153 PECOS PAC ID: 2163874058 Enrollment ID: I20240116003429 |
| Provider Name | Emily L. Beer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518374313 PECOS PAC ID: 4385096106 Enrollment ID: I20240117003264 |
| Provider Name | Annelies L White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003274770 PECOS PAC ID: 0547603680 Enrollment ID: I20240206002845 |
| Provider Name | Andrew Cw Baldwin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437440179 PECOS PAC ID: 1052603784 Enrollment ID: I20240209002416 |
| Provider Name | William J Fanning |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861467102 PECOS PAC ID: 9234186057 Enrollment ID: I20240222002103 |
Jenifer I Bassett Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 W Hamilton Ave, Eau Claire, WI 54701 Phone: 715-830-9990 Fax: 715-830-9995 | |
Pine Grove Family Practice Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 Stein Blvd, Eau Claire, WI 54701 Phone: 715-834-2788 Fax: 715-858-3471 | |
Oakleaf Clinics, Sc - Eau Claire Women's Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Oak Ridge Dr, Eau Claire, WI 54701 Phone: 715-834-9998 Fax: 715-834-9833 | |
Fhc Riverview Dme Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Starr Ave, Eau Claire, WI 54703 Phone: 715-858-4316 | |
Reformedicine, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3004 Golf Road, Suite 100, Eau Claire, WI 54701 Phone: 715-514-2827 Fax: 888-606-1323 | |
Optima Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3321 Golf Rd Ste A, Eau Claire, WI 54701 Phone: 715-832-1953 | |
Thomas P Peller Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 714 W Hamilton Ave, Eau Claire, WI 54701 Phone: 715-830-9990 Fax: 715-830-9995 |