| Mrs Elizabeth Nicole Borchardt, APNP | |
|
110 Cedar St, Tigerton, WI 54486-9527 | |
| (715) 535-2115 | |
| Not Available |
| Full Name | Mrs Elizabeth Nicole Borchardt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 110 Cedar St, Tigerton, 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 |
|---|---|---|---|
| 1821556424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9112-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Nicole Borchardt, APNP 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 535-2115 | Mrs Elizabeth Nicole Borchardt, APNP 110 Cedar St, Tigerton, WI 54486-9527 Ph: (715) 535-2115 |
Sarah Hankins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Cedar St, Tigerton, WI 54486 Phone: 715-535-2115 |