| Legenda Gooding, APNP | |
|
1475 W Grand Ave, Port Washington, WI 53074-2074 | |
| (262) 268-5100 | |
| (262) 268-5115 |
| Full Name | Legenda Gooding |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1475 W Grand Ave, Port Washington, 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 |
|---|---|---|---|
| 1093255549 | NPI | - | NPPES |
| 100065765 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7303-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 7303 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| 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 |
|---|---|
| Legenda Gooding, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Legenda Gooding, APNP 1475 W Grand Ave, Port Washington, WI 53074-2074 Ph: (262) 268-5100 |
Dr. Maureen Therese Greene, RN, CNS, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1136 Noridge Trl, Port Washington, WI 53074 Phone: 262-268-1328 | |
Catherine L Turner, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5115 | |
Heidi S Wheeler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6603 | |
Holly Marie Kempers, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Mrs. Rebecca Massart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
Mrs. Octavia N Manuel-wright, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 216-468-5000 |