| Footprints In Time Midwifery Services Llc | |
|
502 Main St Black River Falls WI 54615-1648 | |
| (715) 284-2003 | |
| (844) 285-4399 |
| Full Name | Footprints In Time Midwifery Services Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 502 Main St, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Rebecca L Amberg (OWNER) |
| Authorized Official Contact | 7152842003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints In Time Midwifery Services Llc 502 Main St Black River Falls WI 54615-1648 Ph: (715) 284-2003 | Footprints In Time Midwifery Services Llc 502 Main St Black River Falls WI 54615-1648 Ph: (715) 284-2003 |
| NPI Number | 1437438157 |
|---|---|
| Provider Enumeration Date | 08/11/2011 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4587949268 |
|---|---|
| Medicare Enrollment ID | O20220103001863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437438157 | NPI | - | NPPES |
| 63651-30 | Other | WI | WI RN LICENSE |
| 147290-30 | Other | WI | REBECCA (BECKY) REGISTERED NURSE |
| 1689608010 | Other | WI | PATRICIA JACOBSON NPI |
| 992-33 | Other | WI | WI APNP LICENSE |
| Provider Name | Patricia A Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689608010 PECOS PAC ID: 9830220912 Enrollment ID: I20100707000070 |
| Provider Name | Sheala R Pinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578031035 PECOS PAC ID: 8224374152 Enrollment ID: I20190114000977 |
| Provider Name | Amy Jeanne Defranco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962045393 PECOS PAC ID: 2466697842 Enrollment ID: I20200713000588 |
Art Of Optometry Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Main St, Black River Falls, WI 54615 Phone: 715-284-3111 Fax: 800-380-1741 | |
Black River Falls Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N6571 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-670-0400 | |
Ho-chunk Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150 | |
Black River Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Krohn Clinic Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-0475 | |
Ho-chunk Community Health Care Nursing Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5051 |