| Mrs Shandell Lee Herrick, FNP-BC | |
|
125 Hospital Dr, Watertown, WI 53098-3303 | |
| (262) 325-9309 | |
| Not Available |
| Full Name | Mrs Shandell Lee Herrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 125 Hospital Dr, Watertown, 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 |
|---|---|---|---|
| 1003674896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 246761-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watertown Physician Practices Llc | 8022329408 | 45 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shandell Lee Herrick, FNP-BC 500 Mary Knoll Ln, Watertown, WI 53098-1219 Ph: (262) 325-9309 | Mrs Shandell Lee Herrick, FNP-BC 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (262) 325-9309 |
Mrs. Rosa Deanna Perez Valenzuela, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 Theresa St, Watertown, WI 53094 Phone: 989-274-3909 | |
Bryce Wegner, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: W4497 Ebenezer Dr, Watertown, WI 53094 Phone: 920-723-8330 | |
Mandy Walter, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: N1691 Welsh Rd, Watertown, WI 53098 Phone: 920-206-1142 | |
Amber Kaesermann, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 115 S Concord Pl, Watertown, WI 53094 Phone: 920-261-4841 | |
Mrs. Alyssa Marie Cahoon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: N1401 County Road R, Watertown, WI 53098 Phone: 920-988-6536 | |
Melanie Terese Heese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1104 Center St, Watertown, WI 53098 Phone: 920-285-9070 |