Rachel D Novak, NP | |
25320 75th St, Salem, WI 53168-9684 | |
(262) 843-2336 | |
Not Available |
Full Name | Rachel D Novak |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 25320 75th St, Salem, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699550053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 14058 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Independent Physicians Of Wisconsin Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
Mailing Address | Practice Location Address |
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Rachel D Novak, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 843-2336 | Rachel D Novak, NP 25320 75th St, Salem, WI 53168-9684 Ph: (262) 843-2336 |
Ginger Bohn Randolph, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7137 236th Ave, Salem, WI 53168 Phone: 262-846-4422 | |
Heather D Hartmann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7137 236th Ave Ste 106, Salem, WI 53168 Phone: 262-558-5995 Fax: 262-558-5045 |