| Vanessa Riley Klein, | |
|
2323 N Lake Dr, Milwaukee, WI 53211-4508 | |
| (414) 291-1000 | |
| Not Available |
| Full Name | Vanessa Riley Klein |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2323 N Lake Dr, Milwaukee, 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 |
|---|---|---|---|
| 1073216917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7404 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee Ca | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 311 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Riley Klein, 2323 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 291-1000 | Vanessa Riley Klein, 2323 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 291-1000 |
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