| Sequoia Integrative Medical Services Llc | |
|
1746 Paul Dr Kaukauna WI 54130-3014 | |
| (920) 422-7402 | |
| Not Available |
| Full Name | Sequoia Integrative Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1746 Paul Dr, Kaukauna, Wisconsin |
| Authorized Official Name and Position | Mary K Friess (PRESIDENT) |
| Authorized Official Contact | 9204227402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Integrative Medical Services Llc Po Box 411 Riverside IL 60546-6411 Ph: (920) 422-7402 | Sequoia Integrative Medical Services Llc 1746 Paul Dr Kaukauna WI 54130-3014 Ph: (920) 422-7402 |
| NPI Number | 1790312171 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Medicare PECOS PAC ID | 8527480250 |
|---|---|
| Medicare Enrollment ID | O20200625000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790312171 | NPI | - | NPPES |
| 36015700 | Medicaid | WI |
| Provider Name | Mary K Friess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750479820 PECOS PAC ID: 5294732178 Enrollment ID: I20061107000429 |
| Provider Name | Lynne M Edebohls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154438760 PECOS PAC ID: 1456429349 Enrollment ID: I20081006000119 |
| Provider Name | Leanna Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972883973 PECOS PAC ID: 7416129812 Enrollment ID: I20111006000797 |
| Provider Name | Nicole M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891047460 PECOS PAC ID: 4880847144 Enrollment ID: I20130117000156 |
| Provider Name | Christie S Henke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871835330 PECOS PAC ID: 3577700475 Enrollment ID: I20130514000201 |
| Provider Name | Nicole Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689943250 PECOS PAC ID: 1052694288 Enrollment ID: I20170213001622 |
| Provider Name | Katie Gesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063839447 PECOS PAC ID: 5294045225 Enrollment ID: I20171006000891 |
| Provider Name | Haley Hannah Decero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609478908 PECOS PAC ID: 7517359144 Enrollment ID: I20220111002763 |
| Provider Name | Robbi M Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403821 PECOS PAC ID: 9537165279 Enrollment ID: I20221229000338 |
| Provider Name | Teal Louise Calaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144979519 PECOS PAC ID: 5890153894 Enrollment ID: I20230623001318 |
| Provider Name | Allison M Brusewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891407540 PECOS PAC ID: 6608235080 Enrollment ID: I20230703000885 |
| Provider Name | Natalie Anne Banda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578269312 PECOS PAC ID: 2365894276 Enrollment ID: I20240116004020 |
| Provider Name | Katie Hagerstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972994093 PECOS PAC ID: 5698295525 Enrollment ID: I20250224000369 |
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Mindful Matters Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: W2274 Out Of Town Ln, Kaukauna, WI 54130 Phone: 920-209-0604 | |
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Heather A. Reardon Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bank Ave, Kaukauna, WI 54130 Phone: 920-470-8359 Fax: 920-843-9381 |