| Yia Lor, NP | |
|
1201 Garfield Ave, Little Chute, WI 54140-2048 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Yia Lor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1201 Garfield Ave, Little Chute, 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 |
|---|---|---|---|
| 1629683065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10354-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Calumet Hospital | Chilton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Pain Management, Sc | 8921009978 | 5 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Entity Name | Integrative Pain Management, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558421560 PECOS PAC ID: 8921009978 Enrollment ID: O20070118000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Yia Lor, NP Po Box 74008272, Chicago, IL 60674-8272 Ph: (872) 231-3162 | Yia Lor, NP 1201 Garfield Ave, Little Chute, WI 54140-2048 Ph: (872) 231-3162 |
Meheza Tchedie Pannla, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Patriot Dr, Little Chute, WI 54140 Phone: 920-687-2800 | |
Tammy E Weyenberg, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Freedom Road, Suite A, Little Chute, WI 54140 Phone: 920-968-2727 Fax: 713-357-9038 |