Emily Jean Roe, NP | |
146 E Geneva Sq, Lake Geneva, WI 53147-9694 | |
(262) 249-5000 | |
Not Available |
Full Name | Emily Jean Roe |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 146 E Geneva Sq, Lake Geneva, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639993900 | NPI | - | NPPES |
100298857 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 16076-33 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Emily Jean Roe, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Emily Jean Roe, NP 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (262) 249-5000 |
Crystal J Dillett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-939-5459 | |
Jennifer May Kirkpatrick, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Harmony Dr, Lake Geneva, WI 53147 Phone: 262-249-1960 Fax: 262-249-1962 | |
Amanda Ann Farrell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Amanda Wolf, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N2257 Wilmot Blvd, Lake Geneva, WI 53147 Phone: 775-217-3487 | |
Lexi Lederhaus, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7143 | |
Joann Kiemen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5030 | |
Ms. Claudia L Peterson, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 877-666-7223 |