| Julie R Fredrick, APNP | |
|
225 Memorial Dr, Ste 1200, Berlin, WI 54923-1243 | |
| (920) 361-5770 | |
| (920) 361-5779 |
| Full Name | Julie R Fredrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 35 Years |
| Location | 225 Memorial Dr, Berlin, 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 |
|---|---|---|---|
| 1932100849 | NPI | - | NPPES |
| 43827900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 99850-030 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 1682-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berlin Memorial Hospital | Berlin, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie R Fredrick, APNP 225 Memorial Dr, Ste 1200, Berlin, WI 54923-1243 Ph: (920) 361-5770 | Julie R Fredrick, APNP 225 Memorial Dr, Ste 1200, Berlin, WI 54923-1243 Ph: (920) 361-5770 |
Daniel Kenneth Lemberger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Kristen J Nickelatti, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr Ste 2010, Berlin, WI 54923 Phone: 920-361-5975 Fax: 920-361-6339 | |
Michelle L Lichtenberg, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Danielle Annette Jachthuber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Amy L Schroeder, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W832 Hwy 91, Berlin, WI 54923 Phone: 920-361-6400 Fax: 920-361-6407 | |
Mrs. Vicki Christine Ray, DNP APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-830-6877 | |
Cassandra Evon Weisnicht, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534 |