Shelly S Gentry, NP | |
S74w16775 Janesville Rd, Muskego, WI 53150 | |
(414) 773-4312 | |
Not Available |
Full Name | Shelly S Gentry |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | S74w16775 Janesville Rd, Muskego, 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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1770833881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 7816 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7816 (Wisconsin) | Primary |
Entity Name | Washington County Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609801778 PECOS PAC ID: 1951202142 Enrollment ID: O20040120000487 |
Mailing Address | Practice Location Address |
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Shelly S Gentry, NP S74w16775 Janesville Rd, Muskego, WI 53150-7742 Ph: (414) 773-4312 | Shelly S Gentry, NP S74w16775 Janesville Rd, Muskego, WI 53150 Ph: (414) 773-4312 |
Diana L Rawson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-2180 | |
Jennifer Berger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: S75w20437 Field Dr, Muskego, WI 53150 Phone: 262-510-6350 | |
Mrs. Lynda Celeste Lutzke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: S.76 W.19774 Sunny Hill Dr., Muskego, WI 53150 Phone: 262-679-2399 | |
Carrie L. Lapow, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: S69 W15636 Janesville Road, Prohealth Care Medical Associates, Muskego, WI 53150 Phone: 262-928-7000 Fax: 414-422-2075 | |
Milka Sagud, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: S74w16775 Janesville Rd Ste A, Muskego, WI 53150 Phone: 414-422-2430 Fax: 414-422-2188 | |
Dr. Jeanette A Kalupa, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 | |
Michelle A Hicks, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: S74w16775 Janesville Rd, Muskego, WI 53150 Phone: 414-773-4312 |