| Jeffrey Gerard Nicholson, PA | |
|
19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 | |
| (262) 754-1421 | |
| (262) 754-3760 |
| Full Name | Jeffrey Gerard Nicholson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 19035 W Capitol Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326018904 | NPI | - | NPPES |
| 42981400 | Medicaid | WI | |
| WI1826001 | Other | WI | MEDCARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 904-023 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Gerard Nicholson, PA 7033 Wellauer Dr, Milwaukee, WI 53213-3734 Ph: (414) 517-6915 | Jeffrey Gerard Nicholson, PA 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045-2755 Ph: (262) 754-1421 |
Amanda Bruggink, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 S Sunny Slope Rd, Brookfield, WI 53005 Phone: 262-798-8750 | |
Richard J. Rather, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Prohealth Care Medical Centers-brookfield, 2085 N. Calhoun Road, Brookfield, WI 53005 Phone: 262-928-7100 Fax: 262-513-7111 | |
Joanna Kelley Crouse, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005 Phone: 262-786-4550 Fax: 262-786-4552 | |
Grant Scott Geisler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-827-9200 | |
Ms. Nicole A Kujawa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave, Suite 200, Brookfield, WI 53005 Phone: 262-784-3800 Fax: 262-784-7936 | |
Mrs. Meghan Victoria Klinck, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17000 W Bluemound Rd Ste C, Brookfield, WI 53005 Phone: 262-240-9640 Fax: 262-293-9659 | |
Katie Ortman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-827-9200 |