| Adam M Wennersten, PA-C | |
|
2222 E 5th St, Superior, WI 54880-3709 | |
| (715) 392-1955 | |
| (715) 392-1935 |
| Full Name | Adam M Wennersten |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 2222 E 5th St, Superior, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568619682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11324 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 2366-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Duluth, MN | Home health agency |
| St Marys Hospital Superior | Superior, WI | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| Lake Superior Community Health Center | 6608810031 | 11 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam M Wennersten, PA-C 2222 E 5th St, Superior, WI 54880-3709 Ph: (715) 392-1955 | Adam M Wennersten, PA-C 2222 E 5th St, Superior, WI 54880-3709 Ph: (715) 392-1955 |
Ms. Erin Lee Fisker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Rhiannon Elise Grimm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Sarah Lynn Karl, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Jay Michael Ferguson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Labutale Walawwe Rajaguru, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Amy Marie Laflamme, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7000 |