| Mrs Jennifer L Lange, APNP | |
|
11051 N Sherman Rd, Edgerton, WI 53534-9002 | |
| (608) 884-3354 | |
| (608) 884-5022 |
| Full Name | Mrs Jennifer L Lange |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 11051 N Sherman Rd, Edgerton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417400490 | NPI | - | NPPES |
| 1417400490 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8411 (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 | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer L Lange, APNP 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 | Mrs Jennifer L Lange, APNP 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 |
Crystal J Endres, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Carmen Jean Bills, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3441 | |
Amy D. Millard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 W Rollin St, Edgerton, WI 53534 Phone: 608-282-8050 | |
Sandra K Matzke, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5024 | |
Dr. Rebecca Beese, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3441 |