| Three Oaks Health S.c. | |
|
480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 | |
| (920) 542-3010 | |
| Not Available |
| Full Name | Three Oaks Health S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 480 Village Walk Ln Ste F, Johnson Creek, Wisconsin |
| Authorized Official Name and Position | James Milford (PROVIDER) |
| Authorized Official Contact | 2623371068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Oaks Health S.c. 480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 Ph: (920) 542-3010 | Three Oaks Health S.c. 480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 Ph: (920) 542-3010 |
| NPI Number | 1760931026 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 4486935624 |
|---|---|
| Medicare Enrollment ID | O20170103000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760931026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James A Milford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548237076 PECOS PAC ID: 6204738438 Enrollment ID: I20040202000344 |
| Provider Name | Teresa Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619425741 PECOS PAC ID: 2769760461 Enrollment ID: I20161101000858 |
| Provider Name | Jenell Lynn Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798340 PECOS PAC ID: 3274987011 Enrollment ID: I20230927001552 |
Watertown Regional Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Village Walk Ln, Johnson Creek, WI 53038 Phone: 920-699-6200 | |
Rock River Community Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Doctors Ct Ste B, Johnson Creek, WI 53038 Phone: 920-563-4372 |