| Mrs Jacqueline Marie Radaj, APRN | |
|
2900 Golf Road 3rd Floor, Pewaukee, WI 53072 | |
| (262) 928-3880 | |
| (262) 532-7236 |
| Full Name | Mrs Jacqueline Marie Radaj |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2900 Golf Road 3rd Floor, Pewaukee, 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 |
|---|---|---|---|
| 1043694227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6473 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prohealth Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Prohealth Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 475 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Marie Radaj, APRN 240 Maple Ave, Mukwonago, WI 53149-8475 Ph: (262) 363-1900 | Mrs Jacqueline Marie Radaj, APRN 2900 Golf Road 3rd Floor, Pewaukee, WI 53072 Ph: (262) 928-3880 |
Maureen R. Kuglitsch, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Community Nursing Clinic At Wctc, 800 Main Street Room So173, Pewaukee, WI 53072 Phone: 262-695-1888 Fax: 262-695-1884 |
Amanda Hoffman, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N51w24953 Lisbon Rd, Pewaukee, WI 53072 Phone: 262-532-8691 |
Emily Becker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N16w23217 Stone Ridge Dr. Suite 270, Pewaukee, WI 53188 Phone: 262-796-0600 Fax: 262-796-0700 |
Luann M Ladwig, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W244n4840 Swan Rd, Pewaukee, WI 53072 Phone: 262-370-2311 |
Joshua D Orne, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N15w28300 Golf Rd, Pewaukee, WI 53072 Phone: 262-303-5055 Fax: 262-303-5057 |
Heidijo Katherine Leach Krause, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2351 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-260-9000 Fax: 262-260-9109 |
Mary Beth Checkai, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Room So173 Community Nursing Clinic At Wctc, Pewaukee, WI 53072 Phone: 262-695-1888 Fax: 262-695-1884 |