| Marissa Jean Perry, APNP | |
|
3415 Custer St Ste D, Manitowoc, WI 54220-4328 | |
| (920) 652-9310 | |
| Not Available |
| Full Name | Marissa Jean Perry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 3415 Custer St Ste D, Manitowoc, 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 |
|---|---|---|---|
| 1558152892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 17186-33 (Wisconsin) | Primary |
| 163W00000X | Registered Nurse | 244683-30 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Home Health Agency | Green bay, WI | Home health agency |
| Froedtert Holy Family Memorial Hospital | Manitowoc, WI | Hospital |
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 685 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Jean Perry, APNP 3415 Custer St, Manitowoc, WI 54220-4324 Ph: (920) 652-9310 | Marissa Jean Perry, APNP 3415 Custer St Ste D, Manitowoc, WI 54220-4328 Ph: (920) 652-9310 |
Kaylee Lynn Hawks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731 Fax: 920-686-5726 |
Barbara J Backus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 |
Tahnee Siewert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4660 |
Emily Gibbs, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 930 Maritime Dr, Manitowoc, WI 54220 Phone: 920-682-9121 Fax: 920-347-0868 |
Michael G Aderman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600 |
Jessica L Lietzan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 |
Veronica Mcfarlane, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 |