| Michell K Pascarella, APNP | |
|
1005 Pennsylvania Ave Ste 210, Ottumwa, IA 52501-6414 | |
| (641) 683-3195 | |
| (641) 686-3197 |
| Full Name | Michell K Pascarella |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1005 Pennsylvania Ave Ste 210, Ottumwa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598782518 | NPI | - | NPPES |
| 43949400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1219-33 (Wisconsin) | Primary |
| 363L00000X | Nurse Practitioner | 1219-033 (Wisconsin) | Secondary |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457191967 PECOS PAC ID: 3779471701 Enrollment ID: O20130819000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Michell K Pascarella, APNP 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Michell K Pascarella, APNP 1005 Pennsylvania Ave Ste 210, Ottumwa, IA 52501-6414 Ph: (641) 683-3195 |
Grace Howe, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Kimberly Joan Brown, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Jennifer Stromgren, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1527 Albia Rd, Ottumwa, IA 52501 Phone: 641-682-8772 | |
Jessica Lane Richards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 E Pennsylvania Avenue, Ottumwa, IA 52501 Phone: 641-684-2300 | |
Mrs. Jayci Michelle Beamer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1009 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-683-4300 | |
Ashley Bland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Jamie Lee Hyde, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 Fax: 641-684-2324 |