| Vivent Health Inc | |
|
1311 N 6th St Milwaukee WI 53212-4006 | |
| (866) 525-5484 | |
| Not Available |
| Full Name | Vivent Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 N 6th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Joann Berk (SR. DIRECTOR OF CORPORATE SERVICES) |
| Authorized Official Contact | 4142251568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivent Health Inc Po Box 18412 Palatine IL 60055-8412 Ph: (866) 525-5484 | Vivent Health Inc 1311 N 6th St Milwaukee WI 53212-4006 Ph: (866) 525-5484 |
| NPI Number | 1982654091 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 1052308376 |
|---|---|
| Medicare Enrollment ID | O20040428001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982654091 | NPI | - | NPPES |
| 32895000 | Medicaid | WI | |
| 42228200 | Medicaid | WI | |
| 38390700 | Medicaid | WI | |
| 43089200 | Medicaid | WI |
| Provider Name | Valerie J Bonne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407936016 PECOS PAC ID: 1850293317 Enrollment ID: I20040123001045 |
| Provider Name | Margaret M Frittitta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225143399 PECOS PAC ID: 6002800661 Enrollment ID: I20040414001345 |
| Provider Name | Lisa A Paulsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518052638 PECOS PAC ID: 6608950423 Enrollment ID: I20080303000491 |
| Provider Name | Christine M Hogan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063573004 PECOS PAC ID: 9931183209 Enrollment ID: I20080320000648 |
| Provider Name | Sarah J Lulloff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215953062 PECOS PAC ID: 4587710512 Enrollment ID: I20090916000588 |
| Provider Name | Robert T Striker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760443121 PECOS PAC ID: 1658408695 Enrollment ID: I20100422000430 |
| Provider Name | Winsome Ann Marie Panton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538113071 PECOS PAC ID: 8729102835 Enrollment ID: I20100826000296 |
| Provider Name | Angelique W Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295979714 PECOS PAC ID: 1355525510 Enrollment ID: I20110412000948 |
| Provider Name | Janaki Y Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164544524 PECOS PAC ID: 2365606894 Enrollment ID: I20120614000138 |
| Provider Name | Damon R Camarata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508127465 PECOS PAC ID: 7810151065 Enrollment ID: I20120619000576 |
| Provider Name | Amy I Pease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316153158 PECOS PAC ID: 7113170184 Enrollment ID: I20121227000312 |
| Provider Name | Agnes Kresch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871720995 PECOS PAC ID: 5092037267 Enrollment ID: I20141126000423 |
| Provider Name | Leslie Cockerham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272162 PECOS PAC ID: 2163617515 Enrollment ID: I20150106002057 |
| Provider Name | Kartikey B Acharya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023242864 PECOS PAC ID: 6204091838 Enrollment ID: I20150616002188 |
| Provider Name | Edward A Morales |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770579757 PECOS PAC ID: 0749248797 Enrollment ID: I20151112000215 |
| Provider Name | Sol Del Mar Aldrete Audiffred |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396059838 PECOS PAC ID: 6901192004 Enrollment ID: I20160915000587 |
| Provider Name | Jonathan Weimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334350 PECOS PAC ID: 0244581767 Enrollment ID: I20180924000396 |
| Provider Name | Luke Debauche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619133352 PECOS PAC ID: 7012327661 Enrollment ID: I20201110001379 |
| Provider Name | Leilah Korbines |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508427139 PECOS PAC ID: 8325453772 Enrollment ID: I20210216002577 |
| Provider Name | Kelsey Bohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851946818 PECOS PAC ID: 6800229576 Enrollment ID: I20211020000343 |
| Provider Name | Victoria Pan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639599756 PECOS PAC ID: 7618361700 Enrollment ID: I20220307002241 |
| Provider Name | John M Keegan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053842385 PECOS PAC ID: 9234569625 Enrollment ID: I20220511002147 |
| Provider Name | Muhammad Ahmed Bin Daud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437719408 PECOS PAC ID: 3678951274 Enrollment ID: I20220610001253 |
| Provider Name | Margaretta Gergen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164984423 PECOS PAC ID: 6901133347 Enrollment ID: I20220701002204 |
| Provider Name | Katie Jacoby Mccracken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669004198 PECOS PAC ID: 4082078183 Enrollment ID: I20230907002737 |
| Provider Name | Mary Horrigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255381943 PECOS PAC ID: 9638512726 Enrollment ID: I20240206000888 |
| Provider Name | Michelle Hemken |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427588441 PECOS PAC ID: 1254747926 Enrollment ID: I20240207000659 |
| Provider Name | Pamela Howard Blaszak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316953953 PECOS PAC ID: 0143666529 Enrollment ID: I20240311003370 |
| Provider Name | Cathy J Augustine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689989048 PECOS PAC ID: 6709222763 Enrollment ID: I20240312004095 |
| Provider Name | Crystal Z Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003054636 PECOS PAC ID: 8123467578 Enrollment ID: I20240417003290 |
| Provider Name | David G Zill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255703856 PECOS PAC ID: 4486093721 Enrollment ID: I20240418003132 |
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