| Ashley Weiland, | |
|
8400 Washington Ave Bldg Suite304, Mount Pleasant, WI 53406-3735 | |
| (262) 631-8750 | |
| Not Available |
| Full Name | Ashley Weiland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8400 Washington Ave Bldg Suite304, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841842697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 220728 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11056 (Wisconsin) | Primary |
| Entity Name | Impact Physician Group, Wisconsin LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174291025 PECOS PAC ID: 2466840004 Enrollment ID: O20211101000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Weiland, W208s8861 Hillendale Dr, Muskego, WI 53150-8415 Ph: Not Available | Ashley Weiland, 8400 Washington Ave Bldg Suite304, Mount Pleasant, WI 53406-3735 Ph: (262) 631-8750 |
Rachel R Gage, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3150 |
Dean Tajnai, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 |
Eki Drake, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 |
Stephanie L Ruskell, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Spring St Ste 240, Mount Pleasant, WI 53405 Phone: 262-687-8108 |
Elizabeth M Cavanaugh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 Spring St Ste 410, Mount Pleasant, WI 53405 Phone: 262-687-8260 |
Anne Stoltenberg, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3821 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8460 |
Mrs. Sarah Katherine Kordus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 |