| Brenna Davis, PA-C | |
|
1310 Broadway, Wisconsin Dells, WI 53965-1358 | |
| (608) 253-1171 | |
| (608) 253-8012 |
| Full Name | Brenna Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1310 Broadway, Wisconsin Dells, 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 |
|---|---|---|---|
| 1932566379 | NPI | - | NPPES |
| 1932566379 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1015 (South Dakota) | Secondary |
| 363A00000X | Physician Assistant | 5784-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenna Davis, PA-C 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 | Brenna Davis, PA-C 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 |
Jennifer L. Spady, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Susan M Teschan-hanson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 |