| Elizabeth Jodie Perkins, RN | |
|
1515 Park Ave, Columbus, WI 53925-1618 | |
| (920) 623-2200 | |
| Not Available |
| Full Name | Elizabeth Jodie Perkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1515 Park Ave, Columbus, 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 |
|---|---|---|---|
| 1720734601 | NPI | - | NPPES |
| 222140 | Other | WI | RN LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 222140 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 12109-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Home Health-wisconsin | Madison, WI | Home health agency |
| Columbus Community Hospital | Columbus, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Health Inc | 6800791484 | 58 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Jodie Perkins, RN 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-1200 | Elizabeth Jodie Perkins, RN 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 |
Tina Marie Haase, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1513 Park Ave Fl 1, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Ms. Dawn Marie Faust, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-2323 | |
Babette Marie Mehling, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1513 Park Ave Fl 1, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1787 | |
Bridget Sharkey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 608-623-2200 |