| Denise R Gatien Brux, NP | |
|
723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 | |
| (920) 926-8600 | |
| Not Available |
| Full Name | Denise R Gatien Brux |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 33 Years |
| Location | 723 Park Ridge Ln, North Fond Du Lac, 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 |
|---|---|---|---|
| 1770574162 | NPI | - | NPPES |
| 12658 | Other | WI | DEAN |
| 500000913 | Other | WI | RAILROAD MEDICARE |
| 1002654 | Other | WV | TOUCHPOINT |
| 39080723684 | Other | WI | UNITY |
| WI01N8 | Other | WI | JOHN DEERE |
| 43833400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 103096 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 103096 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise R Gatien Brux, NP 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Denise R Gatien Brux, NP 723 Park Ridge Ln, North Fond Du Lac, WI 54937-1385 Ph: (920) 926-8600 |
Nicole R Dassow, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Park Ridge Ln, North Fond Du Lac, WI 54937 Phone: 920-926-7800 Fax: 920-921-3500 | |
Mrs. Amy Sue Gumieny, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Park Ridge Ln, North Fond Du Lac, WI 54937 Phone: 920-926-7800 |