| Philip W Diperna, NP | |
|
13111 N Port Washington Rd, Mequon, WI 53097-2416 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Philip W Diperna |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 13111 N Port Washington Rd, Mequon, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508306671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 195687-30 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 7597-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Em Sc | 2466814538 | 48 |
| Entity Name | Door County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Vituity-wisconsin Em Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip W Diperna, NP 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Philip W Diperna, NP 13111 N Port Washington Rd, Mequon, WI 53097-2416 Ph: (414) 290-6720 |
Mrs. Brittany Frisque, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255 | |
Mrs. Mary Katherine Kautz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097 Phone: 262-243-3700 Fax: 262-243-3701 | |
Kathryn R Rodberg, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11430 N. Port Washington Rd., Mequon, WI 53092 Phone: 262-518-1900 | |
Katelyn Steger, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10556 N. Port Washington Rd, Ste 204, Mequon, WI 53092 Phone: 262-292-1892 Fax: 262-292-1255 | |
Mrs. Kelly Marie Bublitz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd Ste 204, Mequon, WI 53097 Phone: 262-243-2524 | |
Lindsay A Wojciechowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 | |
Annette S Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8239 |