Amy B Detzner (NPI# 1598004921, PAC ID# 1153566427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598004921 |
| PAC ID by PECOS | 1153566427 |
| Professional Enrollment ID | I20130315000082 |
| Full Name | Amy B Detzner |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Address |
4805 S Moorland Rd New Berlin WI 53151-7401 |
| Phone Number | 2627987700 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668384371 |
| Number of Group Practice Members | 1573 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2400 W Villard Ave, Milwaukee, WI 53209-4901 | 4145278191 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 4144564100 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2627987700 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| 4855 S Moorland Rd, New Berlin, WI 53151-7401 | 4146075280 | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Organization Legal Name | THE MEDICAL COLLEGE OF WISCONSIN INC |
| Physicians | 1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Manders | Nurse Practitioner | The Medical College of Wisconsin Inc | 2400 W Villard Ave, Milwaukee, WI 53209-4901 |
| Sachin Shivaji Kumbhar | Diagnostic Radiology | The Medical College of Wisconsin Inc | 3195 Hillside Dr, Delafield, WI 53018-2189 |
| Karen E Kersting | Psychologist, Clinical | The Medical College of Wisconsin Inc | 1121 E N Ave, Milwaukee, WI 53212-3515 |
| Abdel Hai Alqwasmi | Hematology/oncology | The Medical College of Wisconsin Inc | W180n8045 Town Hall Rd, Menomonee Falls, WI 53051-3518 |
| Sujan Fernando | Diagnostic Radiology | The Medical College of Wisconsin Inc | 21700 Intertech Dr, Brookfield, WI 53045-5197 |
| Jacqueline K Dake | Nurse Practitioner | The Medical College of Wisconsin Inc | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 |
| Claire T Rich | Clinical Nurse Specialist | The Medical College of Wisconsin Inc | 1155 N Mayfair Rd B, Milwaukee, WI 53226-3462 |
| Piero G Antuono | Neurology | The Medical College of Wisconsin Inc | 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204-2267 |
| John N Jensen | Plastic and Reconstructive Surgery | The Medical College of Wisconsin Inc | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 |
| Anne E B Lakatos | Nurse Practitioner | The Medical College of Wisconsin Inc | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 |
| Street Address |
4805 S MOORLAND RD |
| City | NEW BERLIN |
| State | WI |
| Zip | 53151-7401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Glaser | Qualified Speech Language Pathologist | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Kirsten W Larson | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Karl B Scheidt | Orthopedic Surgery | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Anthony Kohlenberg | Family Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Anna B Edlebeck | Internal Medicine | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Sailaja Kamaraju | Hematology/oncology | The Medical College of Wisconsin Inc | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Debra L Dautermann | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Emily A Jacobson | Physical Therapy | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Timothy S Fenske | Medical Oncology | The Medical College of Wisconsin Inc | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Alicia Y Morales | Nurse Practitioner | Froedtert and The Medical College of Wisconsin Community Physicians In | 4805 S Moorland Rd, New Berlin, WI 53151-7401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffry R Dauk | Chiropractic | 16873 W Greenfield Ave, New Berlin, WI 53151-1362 | |
| Evan L Norum | Chiropractic | 17047 W Greenfield Ave, New Berlin, WI 53151-1364 | |
| Jason M Schilder | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1424 | |
| Emily Johanna Johnson | Chiropractic | 16645 W Greenfield Ave, Suite D, New Berlin, WI 53151-1546 | |
| Larisa Hutchins | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 2898 S Moorland Rd, New Berlin, WI 53151-3744 |
| Nicole M Jonas | Optometry | Jeffrey L Morer Od PC | 13755 W Fieldpoint Dr, New Berlin, WI 53151-3979 |
| Scott A Simkowski | Chiropractic | 12414 W National Ave, New Berlin, WI 53151-4054 | |
| Ryan E Nutter | Physician Assistant | Aspen Orthopedic and Rehabilation Specalist | 12555 W National Ave, Suite 100, New Berlin, WI 53151-4061 |
| Steve I Chang | Internal Medicine | 12555 W National Ave, Suite 200, New Berlin, WI 53151-4061 | |
| Roger V Torres | Internal Medicine | 12555 W National Ave, Suite 201, New Berlin, WI 53151-4061 | |
| Find all physicians in zip 53151 | |||
| City | NEW BERLIN |
| Zip Code | 53151 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW BERLIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy B Detzner.
| 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.