| Mrs Kathleen Pugh, NP | |
|
525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 | |
| (414) 249-2420 | |
| (414) 961-0298 |
| Full Name | Mrs Kathleen Pugh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 525 W River Woods Pkwy Ste 130, Glendale, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164978581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7281-33 (Wisconsin) | Primary |
| 163W00000X | Registered Nurse | 180033-30 (Wisconsin) | Secondary |
| 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 Kathleen Pugh, NP 2500 N Mayfair Rd Ste 500, Wauwatosa, WI 53226-1415 Ph: (414) 257-2525 | Mrs Kathleen Pugh, NP 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 Ph: (414) 249-2420 |
Byung Geun Kim, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 | |
Kayla Ortiz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-961-0304 | |
Paula M Kiehl, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6770 Fax: 414-961-6791 | |
Erin K Gonzalez, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 N Port Washington Rd, Glendale, WI 53212 Phone: 414-326-2218 Fax: 414-326-2208 | |
Jane Klemmer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 377 W River Woods Pkwy Ste 201, Glendale, WI 53212 Phone: 414-323-6880 Fax: 414-539-3651 | |
Mrs. Karen S Lim, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 377 W River Woods Pkwy Ste 201, Glendale, WI 53212 Phone: 414-323-6880 Fax: 414-529-3651 |