| Dr Kimberly K Walker-daniels, DNP-PMHNP | |
|
480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280 | |
| (920) 610-5119 | |
| (920) 610-5120 |
| Full Name | Dr Kimberly K Walker-daniels |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 480 Pilgrim Way # 1300-a, Green Bay, 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 |
|---|---|---|---|
| 1326442070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6060-33 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6060-33 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleanslate Medical Group Of Wisconsin Sc | 4284905134 | 25 |
| Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly K Walker-daniels, DNP-PMHNP 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Dr Kimberly K Walker-daniels, DNP-PMHNP 480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280 Ph: (920) 610-5119 |
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 | |
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288 | |
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488 | |
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348 | |
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 | |
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301 | |
Junhong Pace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 |