| Mikayla Lynn Boettner, APNP | |
|
1305 W Main St, Whitewater, WI 53190-1503 | |
| (262) 473-4548 | |
| (262) 472-7691 |
| Full Name | Mikayla Lynn Boettner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1305 W Main St, Whitewater, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013616473 | NPI | - | NPPES |
| 1013616473 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13437 (Wisconsin) | Primary |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Oak Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
| Entity Name | Maple Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Lynn Boettner, APNP 1305 W Main St, Whitewater, WI 53190-1503 Ph: (262) 473-4548 | Mikayla Lynn Boettner, APNP 1305 W Main St, Whitewater, WI 53190-1503 Ph: (262) 473-4548 |
Laura B Carney, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W Main St, Whitewater, WI 53190 Phone: 262-473-4548 Fax: 262-472-7691 | |
Linda Lamont, APNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Uhcs, Whitewater, WI 53190 Phone: 262-472-1300 | |
Miss Melissa Kaye Miller, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 W Starin Rd, Whitewater, WI 53190 Phone: 262-472-1300 | |
Dr. Forrest Lee Bright, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Whitewater, WI 53190 Phone: 262-472-1300 | |
Rebecca K Hamman, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 W Starin Rd, Whitewater, WI 53190 Phone: 262-472-1300 | |
Lisa K Brellenthin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Whitewater, WI 53190 Phone: 262-473-0400 Fax: 262-473-0408 |