| Integrity Senior Health | |
|
4347 Danbury Ln Mount Pleasant WI 53403-4022 | |
| (262) 902-2855 | |
| Not Available |
| Full Name | Integrity Senior Health |
|---|---|
| Speciality | Family Medicine |
| Location | 4347 Danbury Ln, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Sandeep Ramanujam (PHYSICIAN) |
| Authorized Official Contact | 2629022855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Senior Health 4347 Danbury Ln Mount Pleasant WI 53403-4022 Ph: (262) 902-2855 | Integrity Senior Health 4347 Danbury Ln Mount Pleasant WI 53403-4022 Ph: (262) 902-2855 |
| NPI Number | 1710486121 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Medicare PECOS PAC ID | 4587928130 |
|---|---|
| Medicare Enrollment ID | O20180507001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710486121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebekah K Klussendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669669768 PECOS PAC ID: 2668560574 Enrollment ID: I20071109000578 |
| Provider Name | Sandeep R Ramanujam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770756678 PECOS PAC ID: 1052507548 Enrollment ID: I20101123000612 |
| Provider Name | Emily Patzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609412071 PECOS PAC ID: 5698101244 Enrollment ID: I20200130001669 |
| Provider Name | Kamini S Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184260721 PECOS PAC ID: 9931530581 Enrollment ID: I20200514001353 |
| Provider Name | Stephanie Antes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518542703 PECOS PAC ID: 4789080631 Enrollment ID: I20210901002052 |
| Provider Name | Rachel Marie Goelz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588373765 PECOS PAC ID: 2860859279 Enrollment ID: I20230530003076 |
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