| Meheza Tchedie Pannla, NP | |
|
200 Patriot Dr, Little Chute, WI 54140-1184 | |
| (920) 687-2800 | |
| Not Available |
| Full Name | Meheza Tchedie Pannla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 200 Patriot Dr, Little Chute, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720788243 | NPI | - | NPPES |
| 100235805 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13494-33 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Apogee Medical Group Waukesha Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528544608 PECOS PAC ID: 1153670054 Enrollment ID: O20180827002216 |
| Mailing Address | Practice Location Address |
|---|---|
| Meheza Tchedie Pannla, NP 200 Patriot Dr, Little Chute, WI 54140-1184 Ph: (920) 687-2800 | Meheza Tchedie Pannla, NP 200 Patriot Dr, Little Chute, WI 54140-1184 Ph: (920) 687-2800 |
Yia Lor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Garfield Ave, Little Chute, WI 54140 Phone: 872-231-3162 | |
Tammy E Weyenberg, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Freedom Road, Suite A, Little Chute, WI 54140 Phone: 920-968-2727 Fax: 713-357-9038 |