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 | 21 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 |
Facility Name | Location | Facility Type |
---|---|---|
Home Health United Hospice | Baraboo, WI | Hospice |
Agrace Hospicecare | Madison, WI | Hospice |
Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dean Health Systems Inc | 7012827983 | 1068 |
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 |
Carly Dassow, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606 | |
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 | |
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 | |
Teresa C Patwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 S Century Ave, Waunakee, WI 53597 Phone: 608-849-4315 Fax: 608-850-1606 | |
Mrs. Monica Marie Orji, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5877 Woodland Dr, Waunakee, WI 53597 Phone: 347-334-2096 | |
Christine Marie Wiese, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6729 Patton Rd, Waunakee, WI 53597 Phone: 608-843-4179 |