Kelle Joell Tomatz, FNP-BC | |
10625 W North Avenue Suite 102, Emergency Medicine Specialists, S.c., Wauwatosa, WI 53266-0000 | |
(414) 877-5345 | |
Not Available |
Full Name | Kelle Joell Tomatz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10625 W North Avenue Suite 102, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972912764 | NPI | - | NPPES |
100040306 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5795 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5795-33 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Emergency Medicine Specialists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Kelle Joell Tomatz, FNP-BC 1317 Hillwood Blvd, Unit C, Pewaukee, WI 53072-6902 Ph: () - | Kelle Joell Tomatz, FNP-BC 10625 W North Avenue Suite 102, Emergency Medicine Specialists, S.c., Wauwatosa, WI 53266-0000 Ph: (414) 877-5345 |
Jessica Marie Denton, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-324-2309 | |
Sarah J Parve, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5453 | |
Anne Therese Helmer, NNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-266-2950 | |
Alison Ward, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-874-4555 | |
Garth P Sharpee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222 Phone: 414-384-6700 Fax: 414-727-1058 | |
Maggie C Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4312 | |
Shannon Walowski, MSN, APNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 N 109th St Ste 1, Wauwatosa, WI 53226 Phone: 414-777-1811 Fax: 414-777-1812 |