| Stacey L Gusman, APNP | |
|
6 Johnson St, Owen, WI 54460-9534 | |
| (715) 229-2177 | |
| (715) 229-4450 |
| Full Name | Stacey L Gusman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 6 Johnson St, Owen, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851556658 | NPI | - | NPPES |
| 3467 | Other | WI | WI LICENSE |
| 1851556658 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3467 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Marshfield, WI | Home health agency |
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Aspirus Wausau Hospital Inc | 6406757442 | 177 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L Gusman, APNP 6 Johnson St, Owen, WI 54460-9534 Ph: (715) 229-2177 | Stacey L Gusman, APNP 6 Johnson St, Owen, WI 54460-9534 Ph: (715) 229-2177 |
Marta Miree Humblet, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Johnson St, Owen, WI 54460 Phone: 715-229-2177 | |
Alisha Marley Natzke, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Johnson St, Owen, WI 54460 Phone: 715-229-2177 | |
Heather Ann Olejnichak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Johnson St, Owen, WI 54460 Phone: 715-229-2177 | |
Allison Kay Severson, APNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: W4671 Starks Rd, Owen, WI 54460 Phone: 715-741-0086 |