| Kathleen L Ludwikowski, | |
|
317 Dewitt St, Portage, WI 53901-2155 | |
| (608) 297-9680 | |
| (608) 745-1757 |
| Full Name | Kathleen L Ludwikowski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 317 Dewitt St, Portage, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073506119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4688-33 (Wisconsin) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4688-33 (Wisconsin) | Secondary |
| Entity Name | Aurora Counseling Centers Employee Support Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437240868 PECOS PAC ID: 2264338391 Enrollment ID: O20031210000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen L Ludwikowski, N5427 County Road Y, Montello, WI 53949-8307 Ph: (608) 297-9680 | Kathleen L Ludwikowski, 317 Dewitt St, Portage, WI 53901-2155 Ph: (608) 297-9680 |
Andrea J Langan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 | |
Sara L Grimes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2977 County Road Cx, Portage, WI 53901 Phone: 608-745-3399 | |
Tsering Lhamo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Stephanie Jo Holt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Lindsay Kay Schehr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Sarah Jane Halfmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 087-424-1316 |