| Jeffery Scott Herried, PA-C | |
|
18606 Ervin St, Whitehall, WI 54773-8613 | |
| (715) 538-4355 | |
| Not Available |
| Full Name | Jeffery Scott Herried |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 18606 Ervin St, Whitehall, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316942865 | NPI | - | NPPES |
| 42991300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1211 (Wisconsin) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1211 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Home Healthcare | Chippewa falls, WI | Home health agency |
| Black River Memorial Hospital | Black river falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black River Health Inc | 3173431178 | 62 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20061104000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Scott Herried, PA-C 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-1712 | Jeffery Scott Herried, PA-C 18606 Ervin St, Whitehall, WI 54773-8613 Ph: (715) 538-4355 |
Mr. Mark R Zellmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Brian S Vike, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Caitlin Marie Luttropp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Douglas B Moericke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Bethany Rose Yard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln Street, Whitehall, WI 54773 Phone: 715-538-4361 Fax: 715-538-2912 |
Angela E House, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4355 |
Tayla J Perotti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |