| Ms Sarah Jane Bouc, NP-C | |
|
3509 Dewey St, Manitowoc, WI 54220-5813 | |
| (920) 686-5732 | |
| (920) 686-5726 |
| Full Name | Ms Sarah Jane Bouc |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3509 Dewey St, Manitowoc, 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 |
|---|---|---|---|
| 1619302239 | NPI | - | NPPES |
| 100095376 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 19724330 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 9680-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sarah Jane Bouc, NP-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377 | Ms Sarah Jane Bouc, NP-C 3509 Dewey St, Manitowoc, WI 54220-5813 Ph: (920) 686-5732 |
Barbara J Backus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Michael G Aderman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600 | |
Jessica L Lietzan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Veronica Mcfarlane, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Nicole Artamenko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Brenda Stallbaum, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600 | |
Angela R Vandewettering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 |