| Joanne M Peterson, NP | |
|
N66w25201 County Highway Vv, Fast Care Clinic, Sussex, WI 53089-2677 | |
| (262) 532-8691 | |
| Not Available |
| Full Name | Joanne M Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | N66w25201 County Highway Vv, Sussex, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255335030 | NPI | - | NPPES |
| 1255335030 | Medicaid | WI | |
| 43859300 | Other | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 58398 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne M Peterson, NP N66w25201 County Highway Vv, Fast Care Clinic, Sussex, WI 53089-2677 Ph: (262) 532-8691 | Joanne M Peterson, NP N66w25201 County Highway Vv, Fast Care Clinic, Sussex, WI 53089-2677 Ph: (262) 532-8691 |
Samantha Sippl, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N64w25037 Prospect Cir, Sussex, WI 53089 Phone: 262-532-8680 | |
Ms. Victoria Lynn Tyra, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N61w23044 Harrys Way, Sussex, WI 53089 Phone: 866-275-3737 Fax: 414-566-7613 | |
Andrea R Enters, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N54w23859 Johanssen Ct, Sussex, WI 53089 Phone: 414-708-8824 | |
Michelle M Mindham, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N65w24838 Main St, Unit 400, Sussex, WI 53089 Phone: 262-246-6822 | |
Ms. Andrea Marie Cantwell-durand, RNC, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N51w24953 Lisbon Road, Sussex, WI 53089 Phone: 262-532-8691 | |
Donald J. Daley Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089 Phone: 414-566-8100 Fax: 414-566-8038 |