| Alyssa Zielke, PA | |
|
240 Maple Ave, Prohealth Care Medical Associates Inc, Mukwonago, WI 53149-8475 | |
| (262) 928-1900 | |
| Not Available |
| Full Name | Alyssa Zielke |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 240 Maple Ave, Mukwonago, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003229964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3336-23 (Wisconsin) | Primary |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | Watertown Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Zielke, PA 240 Maple Ave, Prohealth Care Medical Associates Inc, Mukwonago, WI 53149-8475 Ph: (262) 928-1900 | Alyssa Zielke, PA 240 Maple Ave, Prohealth Care Medical Associates Inc, Mukwonago, WI 53149-8475 Ph: (262) 928-1900 |
Julie A. Doyle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Prohealth Care Medical Center-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 |
Geremiah Stephen Krause, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave, Prohealth Care Medical Associates Inc., Mukwonago, WI 53149 Phone: 262-928-1900 |
Mr. Anthony Thomas Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave, Mukwonago, WI 53149 Phone: 262-363-1900 |
Cheri E Krause, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave, Prohealth Care Medical Associates Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 |