| Danielle L Kucik, APNP | |
|
6609 W Greenfield Ave, West Allis, WI 53214-4958 | |
| (414) 257-8577 | |
| (414) 257-8505 |
| Full Name | Danielle L Kucik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6609 W Greenfield Ave, West Allis, 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 |
|---|---|---|---|
| 1093276040 | NPI | - | NPPES |
| 100087263 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9159 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 9159 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle L Kucik, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Danielle L Kucik, APNP 6609 W Greenfield Ave, West Allis, WI 53214-4958 Ph: (414) 257-8577 |
Shannon Basile, APNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2424 S 102nd St, West Allis, WI 53227 Phone: 414-373-7474 | |
Taranpreet Kaur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Paul Facchiano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Virginia R Kuenzi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, West Allis, WI 53227 Phone: 414-328-8150 Fax: 414-328-8350 | |
Ashley A Mikkelsen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave Ste 505, West Allis, WI 53227 Phone: 414-329-5647 | |
Autumn D Unrein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227 Phone: 414-328-8777 Fax: 414-328-8110 | |
Stephanie Schell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227 Phone: 414-328-8270 Fax: 414-328-8275 |