| Laura B Schultz, PA-C | |
|
105 Highland Ter, Waterloo, WI 53594-2217 | |
| (920) 478-2141 | |
| (920) 478-3820 |
| Full Name | Laura B Schultz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 105 Highland Ter, Waterloo, 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 |
|---|---|---|---|
| 1508187436 | NPI | - | NPPES |
| 1508187436 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2590-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rainbow Hospice Care | Jefferson, WI | Hospice |
| Prairie Ridge Health | Columbus, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1174 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Ihc Beaver Dam Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912109836 PECOS PAC ID: 8123129657 Enrollment ID: O20070727000027 |
| 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 |
|---|---|
| Laura B Schultz, PA-C 105 Highland Ter, Waterloo, WI 53594-2217 Ph: (920) 478-2141 | Laura B Schultz, PA-C 105 Highland Ter, Waterloo, WI 53594-2217 Ph: (920) 478-2141 |
Holly Keddington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Highland Ter, Waterloo, WI 53594 Phone: 920-478-2141 Fax: 920-478-3820 |