| Mickey Mason Muller, DNP | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Mickey Mason Muller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093431918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9597 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey Mason Muller, DNP 415 Dairyland Ave, Milltown, WI 54858-9017 Ph: (715) 553-1285 | Mickey Mason Muller, DNP 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Lee Joseph Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Mrs. Hannah Marie Omann, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Theresa Kohlrusch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-0311 | |
Jayna Lunde Olson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Sabrina L. Meddaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Ms. Mary Ann K Scoglio, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 Fax: 715-268-0311 |