| Robert E Docherty, RN | |
|
402 W Lake St, Friendship, WI 53934-9699 | |
| (608) 339-3331 | |
| Not Available |
| Full Name | Robert E Docherty |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 402 W Lake St, Friendship, 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 |
|---|---|---|---|
| 1093339541 | NPI | - | NPPES |
| 100152023 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10357 (Wisconsin) | Primary |
| 163W00000X | Registered Nurse | 226369 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Black River Memorial Hospital | Black river falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| 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 | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | Moundview Memorial Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20061104000654 |
| Entity Name | Swea Fort SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295552065 PECOS PAC ID: 0345774972 Enrollment ID: O20241105002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Docherty, RN 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 | Robert E Docherty, RN 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 |
Virginia Lee Batie, APRN- FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |
Ms. Jennifer Jo Summers, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |
Ann M Anderson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 West Lake St, Friendship, WI 53934 Phone: 608-339-3326 Fax: 608-339-6057 |
Heather Lynne Sweeney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |
Rebecca Jo Solchenberger, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |
Ms. Danielle Lavonne Soley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |
Scott David Hellmich, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 W Lake St, Friendship, WI 53934 Phone: 608-339-3331 |