| Mrs Brenda Blunt, APNP | |
|
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
| (414) 489-9000 | |
| Not Available |
| Full Name | Mrs Brenda Blunt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5900 S Lake Dr, Cudahy, 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 |
|---|---|---|---|
| 1174878839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4877-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 4877 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Blunt, APNP 420 W Michigan St, Port Washington, WI 53074-2101 Ph: (414) 766-1044 | Mrs Brenda Blunt, APNP 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-9000 |
Brienn Murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6010 S Crosswinds Dr Unit 3, Cudahy, WI 53110 Phone: 414-350-9528 | |
Asia Ann Gomez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2816 E Allison Ave, Cudahy, WI 53110 Phone: 414-349-7458 | |
Amanda Fischer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr Lowr Level, Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022 | |
Lena G Podolsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Advanced Pain Management, Cudahy, WI 53110 Phone: 414-489-4183 Fax: 414-489-4582 | |
Kathryn Merkel, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 | |
Kimberly J Gehrig, APNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4190 |