Andrea L Wilson (NPI# 1104001478, PAC ID# 0749514156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1104001478 |
| PAC ID by PECOS | 0749514156 |
| Professional Enrollment ID | I20190618003388 |
| Full Name | Andrea L Wilson |
| Organization Legal Name | AEGIS GROUP PRACTICE LLC |
| Address |
S64w13780 Janesville Rd Muskego WI 53150-2743 |
| Phone Number | 4142177925 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 5193036432 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| S64w13780 Janesville Rd, Muskego, WI 53150-2743 | 4142177925 | AEGIS GROUP PRACTICE LLC |
| Organization Legal Name | AEGIS GROUP PRACTICE LLC |
| Physicians | 186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Wolter | Physical Therapy | Aegis Group Practice LLC | 825 Cobblestone Ln, Kimberly, WI 54136-2116 |
| Jean Allen E Verdaguer | Qualified Speech Language Pathologist | Aegis Group Practice LLC | 1330 W Lincoln Ave, Port Washington, WI 53074-2050 |
| Rachel A Simms | Occupational Therapy | Aegis Group Practice LLC | 10210 Long Home Rd, Louisville, KY 40291-6400 |
| Jane D Huelskoetter | Physical Therapy | Aegis Group Practice LLC | 1020 Woods Mill Rd, Chesterfield, MO 63017-3106 |
| Cindy J Savarino | Physical Therapy | Aegis Group Practice LLC | 50 Joachim Dr, Gulf Breeze, FL 32561-4474 |
| Julia A Schoborg | Qualified Speech Language Pathologist | Aegis Group Practice LLC | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 |
| Diana Gonzalez | Physical Therapy | Aegis Group Practice LLC | 479 E Paces Ferry Rd Ne, Atlanta, GA 30305-3311 |
| Karen C Dailey | Occupational Therapy | Aegis Group Practice LLC | 6700 Overlook Dr, Louisville, KY 40241-6583 |
| Carson Wolf | Physical Therapy | Aegis Group Practice LLC | 4401 Shallowford Rd, Suite 158, Roswell, GA 30075-3175 |
| Lucas Clair Dolan | Physical Therapy | Aegis Group Practice LLC | 35 1st Ave N, Waite Park, MN 56387-1225 |
| Street Address |
S64W13780 JANESVILLE RD |
| City | MUSKEGO |
| State | WI |
| Zip | 53150-2743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niketa P Henry | Physical Therapy | Aegis Group Practice LLC | S64w13780 Janesville Rd, Muskego, WI 53150-2743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette A Kalupa | Nurse Practitioner | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Lisa Neerhof | Registered Dietitian Or Nutrition Professional | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Monica C Jones | Nurse Practitioner | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Maysa Sameh | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Trista Kleppin | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Kong Her | Physician Assistant | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Timothy G Buchanan | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Brian J Dudor | Family Medicine | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Camillia C Pignotti | Physician Assistant | Aurora Medical Group Inc | S68w15500 Janesville Rd, Suite A, Muskego, WI 53150-2613 |
| Darrell L Fynaardt | Chiropractic | S63w13620 Janesville Rd, Muskego, WI 53150-2713 | |
| Find all physicians in zip 53150 | |||
| City | MUSKEGO |
| Zip Code | 53150 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | MUSKEGO + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Andrea L Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.