| Mrs Vicki Christine Ray, DNP APNP | |
|
225 Memorial Dr, Berlin, WI 54923-1243 | |
| (920) 830-6877 | |
| Not Available |
| Full Name | Mrs Vicki Christine Ray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 225 Memorial Dr, Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326277344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3779-033 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3779 (Wisconsin) | Primary |
| 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 Regional Medical Center - Appleton, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832306 PECOS PAC ID: 2163319039 Enrollment ID: O20040304000064 |
| Entity Name | Fox Valley Pulmonary Medicine Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506016 PECOS PAC ID: 6002707320 Enrollment ID: O20040324000551 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Vicki Christine Ray, DNP APNP 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5535 | Mrs Vicki Christine Ray, DNP APNP 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 830-6877 |
Daniel Kenneth Lemberger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Kristen J Nickelatti, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr Ste 2010, Berlin, WI 54923 Phone: 920-361-5975 Fax: 920-361-6339 | |
Michelle L Lichtenberg, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Danielle Annette Jachthuber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 | |
Amy L Schroeder, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W832 Hwy 91, Berlin, WI 54923 Phone: 920-361-6400 Fax: 920-361-6407 | |
Cassandra Evon Weisnicht, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5534 |