| Gerald L. Ignace Indian Health Center, Inc. | |
|
930 W Historic Mitchell St Milwaukee WI 53204-3533 | |
| (414) 383-9526 | |
| (414) 649-6711 |
| Full Name | Gerald L. Ignace Indian Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 930 W Historic Mitchell St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Maria Schulner (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4143835103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald L. Ignace Indian Health Center, Inc. 930 W Historic Mitchell St Milwaukee WI 53204-3533 Ph: (414) 383-9526 | Gerald L. Ignace Indian Health Center, Inc. 930 W Historic Mitchell St Milwaukee WI 53204-3533 Ph: (414) 383-9526 |
| NPI Number | 1023064086 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/26/2025 |
| Certification Date | 08/26/2025 |
| Medicare PECOS PAC ID | 5799677282 |
|---|---|
| Medicare Enrollment ID | O20040329000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023064086 | NPI | - | NPPES |
| 093488131 | Other | WI | CHAMPUS |
| 32957100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Paul D Ginkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033184759 PECOS PAC ID: 1355238379 Enrollment ID: I20040319001218 |
| Provider Name | Eugene F Braaksma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669656245 PECOS PAC ID: 7214829597 Enrollment ID: I20040330000322 |
| Provider Name | U Michael Blaschke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437111762 PECOS PAC ID: 8325036221 Enrollment ID: I20040430001086 |
| Provider Name | Hugo F Goitia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417121153 PECOS PAC ID: 5597715946 Enrollment ID: I20050125000034 |
| Provider Name | Mustansir Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689778920 PECOS PAC ID: 0749230415 Enrollment ID: I20050131000361 |
| Provider Name | Bridget M Costigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084341 PECOS PAC ID: 2567613375 Enrollment ID: I20121102000492 |
| Provider Name | Angeline Vercauteren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407287543 PECOS PAC ID: 6305076290 Enrollment ID: I20140219001793 |
| Provider Name | Lyle Ignace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649209545 PECOS PAC ID: 5597755918 Enrollment ID: I20140402000044 |
| Provider Name | Kristine I Fleis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598065559 PECOS PAC ID: 2062717846 Enrollment ID: I20160217000640 |
| Provider Name | Anthony L Mannila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053851204 PECOS PAC ID: 0143506758 Enrollment ID: I20170414000293 |
| Provider Name | Dionna Lashaun Mcferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746443 PECOS PAC ID: 4789956996 Enrollment ID: I20170823002408 |
| Provider Name | Lydia Biehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023542933 PECOS PAC ID: 5799044624 Enrollment ID: I20180122001677 |
| Provider Name | Ellicia Wilder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861156473 PECOS PAC ID: 6406299924 Enrollment ID: I20240212001792 |
| Provider Name | Alaina Jane Hanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619595568 PECOS PAC ID: 2567826571 Enrollment ID: I20250812004784 |
| Provider Name | Luke Wild |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619414513 PECOS PAC ID: 9830693027 Enrollment ID: I20250919002216 |
| Provider Name | Erin Zingler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437997814 PECOS PAC ID: 8224533633 Enrollment ID: I20250925004843 |
| Provider Name | Ana P Solano-pacheco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700410503 PECOS PAC ID: 0244727444 Enrollment ID: I20251013001518 |
| Provider Name | Ninah Divine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174104590 PECOS PAC ID: 7719374727 Enrollment ID: I20251014001588 |
| Provider Name | Brooke Massaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841911807 PECOS PAC ID: 5890288732 Enrollment ID: I20251201000718 |
| Provider Name | Tanya Scheidegger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730704115 PECOS PAC ID: 7315300043 Enrollment ID: I20251210003327 |
| Provider Name | Anni Liu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942075338 PECOS PAC ID: 0345736443 Enrollment ID: I20251229000080 |
| Provider Name | Diana Lillian Osberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619616059 PECOS PAC ID: 1355837469 Enrollment ID: I20251229000485 |
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