| Elizabeth Weissbart Wasik, FNP | |
|
4340 Golden Center Dr Ste B, Placerville, CA 95667-6280 | |
| (530) 621-7700 | |
| Not Available |
| Full Name | Elizabeth Weissbart Wasik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4340 Golden Center Dr Ste B, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053894717 | NPI | - | NPPES |
| 02995513 | Medicaid | NY | |
| 53099A | Other | NY | MEDICARE PIN |
| 331833 | Other | NY | MEDICARE OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F343571 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95013662 (California) | Primary |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Weissbart Wasik, FNP 4212 Missouri Flat Rd, Placerville, CA 95667-6269 Ph: (530) 621-7700 | Elizabeth Weissbart Wasik, FNP 4340 Golden Center Dr Ste B, Placerville, CA 95667-6280 Ph: (530) 621-7700 |
Lacey Etienne Neufeld, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way # 100, Placerville, CA 95667 Phone: 530-626-2920 | |
Ashley Witherspoon, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4212 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-621-7700 | |
Sharon D Stone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Spring St, Placerville, CA 95667 Phone: 530-626-8300 Fax: 530-626-7617 | |
Sheila Dupuis Fleege, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1590 Carson Rd, Placerville, CA 95667 Phone: 530-642-8409 | |
Mrs. Kathryn Ann Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Marshall Way, 2nd Floor, Placerville, CA 95667 Phone: 530-626-6155 | |
Mary Louise Giska, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-621-3600 Fax: 530-748-0325 |