| Miss Kelly M Wisch, NP | |
|
1300 S Century Ave, Waunakee, WI 53597-2386 | |
| (608) 849-4315 | |
| (608) 850-1606 |
| Full Name | Miss Kelly M Wisch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1300 S Century Ave, Waunakee, 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 |
|---|---|---|---|
| 1376592543 | NPI | - | NPPES |
| 1376592543 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2345-033 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315 | Miss Kelly M Wisch, NP 1300 S Century Ave, Waunakee, WI 53597-2386 Ph: (608) 849-4315 |
Kathryn A Swenson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1407 Trotta Ct, Waunakee, WI 53597 Phone: 608-213-7010 | |
Dr. Erin Elizabeth Macmillan, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 Dartmouth Dr, Waunakee, WI 53597 Phone: 608-850-9419 | |
Suzanne J Dynneson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606 | |
Cory Sieburg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 Victor Ln, Waunakee, WI 53597 Phone: 608-393-2685 | |
Cindy Lee Schmitz, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Turnberry Dr, Waunakee, WI 53597 Phone: 608-206-0994 | |
Christine M Disch, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606 |