| Angela Jill David, | |
|
975 Port Washington Rd, Grafton, WI 53024-9204 | |
| (262) 329-1000 | |
| Not Available |
| Full Name | Angela Jill David |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 975 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538624010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9015-33 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Jill David, 2901 W Kk River Pkwy Ste 305, Milwaukee, WI 53215-3660 Ph: (414) 649-1291 | Angela Jill David, 975 Port Washington Rd, Grafton, WI 53024-9204 Ph: (262) 329-1000 |
Mrs. Margaret Aikins Keup, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Rebekah L Otte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8150 | |
Bonita J. Wendel, APNP/BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Kaylee Lynn Popp, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Patricia G Wilhelme, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Jennifer A Krueger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8600 | |
Jill M Mitchell, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |