| Pamela Zastrow, APNP | |
|
975 Port Washington Rd, Grafton, WI 53024-9201 | |
| (262) 329-1000 | |
| Not Available |
| Full Name | Pamela Zastrow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 975 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760030688 | NPI | - | NPPES |
| 100095214 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 9556 (Wisconsin) | Primary |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Zastrow, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Pamela Zastrow, APNP 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
Mrs. Margaret Aikins Keup, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Rebekah L Otte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8150 | |
Bonita J. Wendel, APNP/BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Kaylee Lynn Popp, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Patricia G Wilhelme, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Jennifer A Krueger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8600 | |
Jill M Mitchell, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |