| Oneida Nation | |
|
525 Airport Dr Oneida WI 54155-9035 | |
| (920) 869-2711 | |
| Not Available |
| Full Name | Oneida Nation |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 Airport Dr, Oneida, Wisconsin |
| Authorized Official Name and Position | Debra Danforth (COMPREHENSIVE HEALTH OPERATIONS MAN) |
| Authorized Official Contact | 9208694807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneida Nation Po Box 365 Oneida WI 54155-0365 Ph: (920) 869-2711 | Oneida Nation 525 Airport Dr Oneida WI 54155-9035 Ph: (920) 869-2711 |
| NPI Number | 1740278308 |
|---|---|
| Provider Enumeration Date | 10/07/2005 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 6800794074 |
|---|---|
| Medicare Enrollment ID | O20031224000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740278308 | NPI | - | NPPES |
| 32956500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
| Provider Name | Paul L Abler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467403287 PECOS PAC ID: 6103727490 Enrollment ID: I20040120000089 |
| Provider Name | Sangita A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104800721 PECOS PAC ID: 5991607954 Enrollment ID: I20040121001103 |
| Provider Name | Karen M Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427032127 PECOS PAC ID: 3870585581 Enrollment ID: I20040401001165 |
| Provider Name | Michael Flood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710079934 PECOS PAC ID: 4880668086 Enrollment ID: I20040824000242 |
| Provider Name | Lisa L Slaby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164410734 PECOS PAC ID: 4183691025 Enrollment ID: I20040910001263 |
| Provider Name | Josefina C Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770573925 PECOS PAC ID: 1850352881 Enrollment ID: I20041022001017 |
| Provider Name | Veeranagouda A Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184724072 PECOS PAC ID: 4284695214 Enrollment ID: I20041022001034 |
| Provider Name | Michael J Oneill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083655245 PECOS PAC ID: 2769430297 Enrollment ID: I20050111000490 |
| Provider Name | David M Danby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497861983 PECOS PAC ID: 4789638255 Enrollment ID: I20050308000567 |
| Provider Name | Paul H Sumnicht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639214752 PECOS PAC ID: 7113971409 Enrollment ID: I20050309000776 |
| Provider Name | Alan W James |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215982368 PECOS PAC ID: 0648244558 Enrollment ID: I20050323000224 |
| Provider Name | Michael P Sayers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043200397 PECOS PAC ID: 6103867866 Enrollment ID: I20050512000932 |
| Provider Name | Cheryl M Habeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114912425 PECOS PAC ID: 1557307865 Enrollment ID: I20050707000930 |
| Provider Name | Karen Ross Tammela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396770905 PECOS PAC ID: 8224093596 Enrollment ID: I20050714000515 |
| Provider Name | Robert D Moyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699791368 PECOS PAC ID: 1153355615 Enrollment ID: I20050923000306 |
| Provider Name | Ravinder Vir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780633669 PECOS PAC ID: 5092735688 Enrollment ID: I20051128000679 |
| Provider Name | Monique L Gore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568452803 PECOS PAC ID: 1355353301 Enrollment ID: I20060613000059 |
| Provider Name | Jay J Kennard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851398523 PECOS PAC ID: 7911904982 Enrollment ID: I20061106000004 |
| Provider Name | Elizabeth L Schwantes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922160118 PECOS PAC ID: 4486655594 Enrollment ID: I20070116000300 |
| Provider Name | Lisa Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629176938 PECOS PAC ID: 3476635194 Enrollment ID: I20080201000507 |
| Provider Name | Moitreyee B Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164517082 PECOS PAC ID: 5395804470 Enrollment ID: I20081104000453 |
| Provider Name | Marta R Brace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386669497 PECOS PAC ID: 3173683810 Enrollment ID: I20081125000467 |
| Provider Name | Patrick J Samels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801954979 PECOS PAC ID: 4385706373 Enrollment ID: I20081230000135 |
| Provider Name | Erich G Metzler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770516981 PECOS PAC ID: 2769537182 Enrollment ID: I20090908000299 |
| Provider Name | Frances Aledo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912110859 PECOS PAC ID: 1557400058 Enrollment ID: I20091123000079 |
| Provider Name | Yogesh C Pareek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093930067 PECOS PAC ID: 4082744677 Enrollment ID: I20100608000529 |
| Provider Name | Torland E Cornelius Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639169949 PECOS PAC ID: 9335320837 Enrollment ID: I20110216000584 |
| Provider Name | Cynthia Malvitz Overly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457498602 PECOS PAC ID: 0143336024 Enrollment ID: I20110217000536 |
| Provider Name | Valorie A Helander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699859843 PECOS PAC ID: 3577745314 Enrollment ID: I20110315000712 |
| Provider Name | Sara L Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467658302 PECOS PAC ID: 2264600154 Enrollment ID: I20110720000312 |
| Provider Name | Mary Beth King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326377359 PECOS PAC ID: 6507035409 Enrollment ID: I20110810000600 |
| Provider Name | Ann M Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225317795 PECOS PAC ID: 1658542014 Enrollment ID: I20110915000831 |
| Provider Name | Michele Ann Kreft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477821445 PECOS PAC ID: 6002078144 Enrollment ID: I20120507000276 |
| Provider Name | Timothy A Moureau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710975065 PECOS PAC ID: 4880856863 Enrollment ID: I20120509000286 |
| Provider Name | Patricia M Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023010543 PECOS PAC ID: 8123283512 Enrollment ID: I20120710000592 |
| Provider Name | Lori B Thiry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588913859 PECOS PAC ID: 1759532278 Enrollment ID: I20121109000509 |
| Provider Name | Natalie Lynn Larson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598016719 PECOS PAC ID: 5991958605 Enrollment ID: I20130109000085 |
| Provider Name | Mary K Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578807673 PECOS PAC ID: 5294989422 Enrollment ID: I20130215000382 |
| Provider Name | Amy L Van Gheem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649407412 PECOS PAC ID: 9739323833 Enrollment ID: I20130911000183 |
| Provider Name | Seth P Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780982397 PECOS PAC ID: 9234357211 Enrollment ID: I20140904002022 |
| Provider Name | Tracy L Rosiek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619121753 PECOS PAC ID: 1456570944 Enrollment ID: I20140916000367 |
| Provider Name | Ashley A Torreano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952718926 PECOS PAC ID: 8628298528 Enrollment ID: I20140926001650 |
| Provider Name | Jennifer A Milosavljevic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972673325 PECOS PAC ID: 1658466784 Enrollment ID: I20141105001378 |
| Provider Name | Dianna L Langner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528322849 PECOS PAC ID: 3173779014 Enrollment ID: I20151012000594 |
| Provider Name | Rebecca L Morrill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679943781 PECOS PAC ID: 6901107333 Enrollment ID: I20151209000666 |
| Provider Name | Richa Aggarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578761797 PECOS PAC ID: 3173740867 Enrollment ID: I20160802003184 |
| Provider Name | Candice Crabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003266313 PECOS PAC ID: 8426344243 Enrollment ID: I20160902001898 |
| Provider Name | Trisha A Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407323 PECOS PAC ID: 9739446097 Enrollment ID: I20171122001318 |
| Provider Name | Susan M Exworthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306231683 PECOS PAC ID: 5294080453 Enrollment ID: I20180612003192 |
| Provider Name | Crystal M Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548738297 PECOS PAC ID: 8628313673 Enrollment ID: I20181219000325 |
| Provider Name | Heidi J Mccann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760950976 PECOS PAC ID: 8628313541 Enrollment ID: I20181221000999 |
| Provider Name | Eusebio Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184790503 PECOS PAC ID: 9335140193 Enrollment ID: I20190906002834 |
| Provider Name | Kari Ann Pecho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780229989 PECOS PAC ID: 2466886254 Enrollment ID: I20200108001085 |
| Provider Name | Sushma Gunturu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861723215 PECOS PAC ID: 9537398524 Enrollment ID: I20200427002451 |
| Provider Name | Katherine M Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730704420 PECOS PAC ID: 3274959150 Enrollment ID: I20200824000619 |
| Provider Name | Tiffany Dahlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194353763 PECOS PAC ID: 9133537285 Enrollment ID: I20210409001219 |
| Provider Name | Thanmayi Kaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053842492 PECOS PAC ID: 1052684594 Enrollment ID: I20210825002487 |
| Provider Name | Brittany Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649820622 PECOS PAC ID: 2860899846 Enrollment ID: I20210917000056 |
| Provider Name | Maria D Linden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316137490 PECOS PAC ID: 6002967536 Enrollment ID: I20211115000788 |
| Provider Name | Angela Janell Baraniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134885361 PECOS PAC ID: 4486047016 Enrollment ID: I20220203000956 |
| Provider Name | Brianna M Grosso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396354320 PECOS PAC ID: 3577935568 Enrollment ID: I20230221003019 |
| Provider Name | Semhal Abbay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780713172 PECOS PAC ID: 4880788678 Enrollment ID: I20230822002940 |
| Provider Name | Lauren M Cornette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164113288 PECOS PAC ID: 7911439146 Enrollment ID: I20241014001381 |