| Lauren E Dailey, PA | |
|
370 S Main St, Clintonville, WI 54929-1632 | |
| (715) 823-5161 | |
| (715) 823-1386 |
| Full Name | Lauren E Dailey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 370 S Main St, Clintonville, 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 |
|---|---|---|---|
| 1043721970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4226 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - Shawano Inc | Shawano, WI | Hospital |
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Thedacare Medical Center New London | New london, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Medical Center - Shawano, Inc. | 5890605836 | 38 |
| Thedacare, Incorporated | 1759294887 | 654 |
| 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 - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren E Dailey, PA 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Lauren E Dailey, PA 370 S Main St, Clintonville, WI 54929-1632 Ph: (715) 823-5161 |
Rita Braund, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 |
Sara L Messner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 370 S Main St, Clintonville, WI 54929 Phone: 715-823-5161 Fax: 715-823-1386 |