| Carmen Huenerberg, | |
|
2310 1st Center Ave, Brodhead, WI 53520-1937 | |
| (608) 897-8664 | |
| Not Available |
| Full Name | Carmen Huenerberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2310 1st Center Ave, Brodhead, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679961650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6182-33 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Agrace Palliative Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326386129 PECOS PAC ID: 4385882729 Enrollment ID: O20130524000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Huenerberg, 2310 1st Center Ave, Brodhead, WI 53520-1937 Ph: (608) 897-8664 | Carmen Huenerberg, 2310 1st Center Ave, Brodhead, WI 53520-1937 Ph: (608) 897-8664 |
Darcey Jo Bedward, FNP APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8325 S Avon Store Rd, Brodhead, WI 53520 Phone: 608-449-8207 | |
Benjamin Layne Eithun, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: E401 23rd St, Brodhead, WI 53520 Phone: 262-701-7257 | |
Jacqueline Leigh Conway, APNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1904 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-2191 |