| Elizabeth Susan Reid, APNP | |
|
1111 Delafield St Ste 327, Waukesha, WI 53188-3407 | |
| (262) 875-4892 | |
| (866) 817-3838 |
| Full Name | Elizabeth Susan Reid |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1111 Delafield St Ste 327, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093429151 | NPI | - | NPPES |
| 100225684 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13462-33 (Wisconsin) | Primary |
| Entity Name | Village Primary Care Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003324617 PECOS PAC ID: 1355603069 Enrollment ID: O20180316001039 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Susan Reid, APNP Po Box 438, Sullivan, WI 53178-0438 Ph: (262) 875-4892 | Elizabeth Susan Reid, APNP 1111 Delafield St Ste 327, Waukesha, WI 53188-3407 Ph: (262) 875-4892 |
Katelyn Ryman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N20w22961 Watertown Rd, Waukesha, WI 53186 Phone: 262-875-5070 | |
Mr. Carla L Foley, MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20611 Watertown Rd, Waukesha, WI 53186 Phone: 262-798-1910 | |
Annette Quinn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Prohealth Care Women's Center, Waukesha, WI 53188 Phone: 262-928-3500 | |
Renelle L Staus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Ms. Danielle Marie Bernacchi, MSN, FNP-C, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W308s2809 Wild Berry Ct, Waukesha, WI 53188 Phone: 262-391-0575 | |
Miss Amelia Tollefson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Sunset Dr, Waukesha, WI 53189 Phone: 866-389-2727 | |
Katie L Scott, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 310, Waukesha, WI 53188 Phone: 262-928-5900 |