| David Banicki, FNP-C | |
|
9555 76th St, Pleasant Prairie, WI 53158-1984 | |
| (262) 577-8202 | |
| Not Available |
| Full Name | David Banicki |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 9555 76th St, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962217125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 230971-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F05250443 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Em Sc | 2466814538 | 56 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Entity Name | Vituity-wisconsin Em SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
| Mailing Address | Practice Location Address |
|---|---|
| David Banicki, FNP-C 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8202 | David Banicki, FNP-C 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8202 |
Lauren M Gehrig, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |
Mercedes Jean Saltou, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7050 |
Laronda James, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3338 Fax: 262-656-3368 |
Shannon L Yow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 |
Mr. Frederick Antwi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |
Mutsa Vollmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 |
Jennifer Erich, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Rd Fl 2, Pleasant Prairie, WI 53158 Phone: 262-551-4200 |