| Tiffani L Driessen, NP | |
|
225 Memorial Dr, Berlin, WI 54923-1243 | |
| (920) 830-5900 | |
| (920) 830-5910 |
| Full Name | Tiffani L Driessen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 225 Memorial Dr, Berlin, 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 |
|---|---|---|---|
| 1114570132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9390 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - Berlin Inc | Berlin, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare, Incorporated | 1759294887 | 654 |
| 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, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffani L Driessen, NP 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Tiffani L Driessen, NP 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 830-5900 |
Daniel Kenneth Lemberger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 |
Mrs. Lynn Annette Ringenoldus, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Memorial Dr Ste 300, Berlin, WI 54923 Phone: 920-361-5717 Fax: 920-361-6361 |
Kristen J Nickelatti, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr Ste 2010, Berlin, WI 54923 Phone: 920-361-5975 Fax: 920-361-6339 |
Michelle L Lichtenberg, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 |
Danielle Annette Jachthuber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-1313 |
Amy L Schroeder, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W832 Hwy 91, Berlin, WI 54923 Phone: 920-361-6400 Fax: 920-361-6407 |
Mrs. Vicki Christine Ray, DNP APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-830-6877 |