| Jamie Leigh Dewitt, APNP | |
|
2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | |
| (920) 426-6100 | |
| (920) 426-6109 |
| Full Name | Jamie Leigh Dewitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2601 Fieldcrest Dr, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760474910 | NPI | - | NPPES |
| 43976600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2124-033 (Wisconsin) | Primary |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20211209000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Leigh Dewitt, APNP 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 426-6100 | Jamie Leigh Dewitt, APNP 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 426-6100 |
Jennifer Lea Baumgart, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Jonathan K Jandrin, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Arbor Way, Kaukauna, WI 54130 Phone: 920-766-3200 | |
Ms. Lori Deprez King, RN, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 |