| Minuteclinic Video Virtual Care Of Wisconsin, Sc | |
|
1650 N Farwell Ave Milwaukee WI 53202-2331 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Minuteclinic Video Virtual Care Of Wisconsin, Sc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1650 N Farwell Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Video Virtual Care Of Wisconsin, Sc 1 Cvs Dr # Mc2295 Woonsocket RI 02895-6146 Ph: (866) 389-2727 | Minuteclinic Video Virtual Care Of Wisconsin, Sc 1650 N Farwell Ave Milwaukee WI 53202-2331 Ph: (866) 389-2727 |
| NPI Number | 1932732914 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0547684243 |
|---|---|
| Medicare Enrollment ID | O20200727003573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932732914 | NPI | - | NPPES |
| Provider Name | Ann M Leeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790151355 PECOS PAC ID: 6305140294 Enrollment ID: I20160215000202 |
| Provider Name | Tarren Prange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922573625 PECOS PAC ID: 0345584108 Enrollment ID: I20181205000379 |
| Provider Name | Mary E. Clementi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346896594 PECOS PAC ID: 5395077309 Enrollment ID: I20191024000474 |
| Provider Name | Tiera Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203857 PECOS PAC ID: 5597173799 Enrollment ID: I20210427001927 |
| Provider Name | Laurie Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023435831 PECOS PAC ID: 8224251418 Enrollment ID: I20220901000814 |
| Provider Name | Molly M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975961 PECOS PAC ID: 8921245598 Enrollment ID: I20220912002709 |
| Provider Name | Sierra R Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864593 PECOS PAC ID: 5991054447 Enrollment ID: I20220913002502 |
| Provider Name | Elizabeth Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699301408 PECOS PAC ID: 2668893496 Enrollment ID: I20220915000351 |
| Provider Name | Kathryn Roush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114395423 PECOS PAC ID: 6103126024 Enrollment ID: I20220922001512 |
| Provider Name | Alisha Vernacchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558687 PECOS PAC ID: 1153681077 Enrollment ID: I20221110000750 |
| Provider Name | Sapna Makhijani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569951 PECOS PAC ID: 5991138042 Enrollment ID: I20221111001181 |
| Provider Name | Brandy Perine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392977 PECOS PAC ID: 5092186262 Enrollment ID: I20230126000307 |
| Provider Name | Jodit Beyene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073891305 PECOS PAC ID: 5193997914 Enrollment ID: I20230207000980 |
| Provider Name | Michele Corrice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821085143 PECOS PAC ID: 0244243400 Enrollment ID: I20230214001064 |
| Provider Name | Jaclyn Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257673 PECOS PAC ID: 5193098010 Enrollment ID: I20230222001836 |
| Provider Name | Rebecca Thomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215477179 PECOS PAC ID: 2961789433 Enrollment ID: I20230523003304 |
| Provider Name | Karren Agyekum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508296542 PECOS PAC ID: 1557598653 Enrollment ID: I20230524001447 |
| Provider Name | Amaya Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943647 PECOS PAC ID: 8628485422 Enrollment ID: I20230602000833 |
| Provider Name | Jessica Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228646 PECOS PAC ID: 0143492934 Enrollment ID: I20230614001293 |
| Provider Name | Karen Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593868 PECOS PAC ID: 7719222140 Enrollment ID: I20230913001979 |
| Provider Name | Hilary Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801172184 PECOS PAC ID: 0446484042 Enrollment ID: I20230913003478 |
| Provider Name | Christine Dimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374273 PECOS PAC ID: 0941561070 Enrollment ID: I20240314003716 |
| Provider Name | Thomas Godfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700172624 PECOS PAC ID: 0042625543 Enrollment ID: I20240801000716 |
| Provider Name | Macy Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618848 PECOS PAC ID: 3779847173 Enrollment ID: I20240924003495 |
| Provider Name | Joan Cacciola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700147337 PECOS PAC ID: 0840444824 Enrollment ID: I20240927002067 |
| Provider Name | Althea Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734146 PECOS PAC ID: 8921338831 Enrollment ID: I20241009000097 |
| Provider Name | Crystal Oramadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063965978 PECOS PAC ID: 9931538824 Enrollment ID: I20241011001891 |
| Provider Name | Candace Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235502246 PECOS PAC ID: 2860793866 Enrollment ID: I20241014002684 |
| Provider Name | Shamaria Latrice Wooten-boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467817676 PECOS PAC ID: 5294268942 Enrollment ID: I20241101002382 |
| Provider Name | Jennifer Vidonish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924888 PECOS PAC ID: 6103053434 Enrollment ID: I20241120002945 |
| Provider Name | Pamela Witek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836843 PECOS PAC ID: 8628221470 Enrollment ID: I20241121001222 |
| Provider Name | Brooke Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144912148 PECOS PAC ID: 1759745110 Enrollment ID: I20241203002324 |
| Provider Name | Alyson Leigh Huling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609718 PECOS PAC ID: 4587098165 Enrollment ID: I20250217000729 |
| Provider Name | Lydia Yilma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215527544 PECOS PAC ID: 0749687655 Enrollment ID: I20250219003140 |
| Provider Name | Monica Conliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890617 PECOS PAC ID: 0840684304 Enrollment ID: I20250220000080 |
| Provider Name | Idara Inokon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740826643 PECOS PAC ID: 8123463551 Enrollment ID: I20250220002784 |
| Provider Name | Ingrid Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144527821 PECOS PAC ID: 4789867383 Enrollment ID: I20250226000464 |
| Provider Name | Manuela Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417359472 PECOS PAC ID: 2769790815 Enrollment ID: I20250228002349 |
| Provider Name | Jossette Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679024731 PECOS PAC ID: 4688958770 Enrollment ID: I20250305003198 |
| Provider Name | Taylor Catrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360920 PECOS PAC ID: 6709128986 Enrollment ID: I20250306000900 |
| Provider Name | Diane Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053573238 PECOS PAC ID: 8729133681 Enrollment ID: I20250306002210 |
| Provider Name | Luz Gomez-casseres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063715654 PECOS PAC ID: 2668658709 Enrollment ID: I20250319000418 |
| Provider Name | Seth Astorino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762365 PECOS PAC ID: 1254560998 Enrollment ID: I20250324003731 |
| Provider Name | Angela Frazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104451061 PECOS PAC ID: 2668899253 Enrollment ID: I20250403002822 |
| Provider Name | Daniel Rybalov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588228571 PECOS PAC ID: 2961738042 Enrollment ID: I20250422002730 |
| Provider Name | Crystal Nicosia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154747970 PECOS PAC ID: 7113141516 Enrollment ID: I20250428001926 |
| Provider Name | Patrice Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952001331 PECOS PAC ID: 7012370430 Enrollment ID: I20250515002860 |
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