Carmen Kosicek (NPI# 1255863767, PAC ID# 3375800857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255863767 |
| PAC ID by PECOS | 3375800857 |
| Professional Enrollment ID | I20171208002064 |
| Full Name | Carmen Kosicek |
| Organization Legal Name | VALDEZ AND SOTO LLC |
| Address |
1001 Cecelia Dr Suite 200 Pewaukee WI 53072-2546 |
| Phone Number | 2622609000 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557628039 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 | 2622609000 | VALDEZ AND SOTO LLC |
| Organization Legal Name | VALDEZ AND SOTO LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Berndt | Nurse Practitioner | Valdez and Soto LLC | 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 |
| Christina M Fuchs | Nurse Practitioner | Valdez and Soto LLC | 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 |
| Street Address |
1001 CECELIA DR SUITE 200 |
| City | PEWAUKEE |
| State | WI |
| Zip | 53072-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Berndt | Nurse Practitioner | Valdez and Soto LLC | 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 |
| Christina M Fuchs | Nurse Practitioner | Valdez and Soto LLC | 1001 Cecelia Dr, Suite 200, Pewaukee, WI 53072-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Marshall | Physician Assistant | Advanced Pain Management Sc | 1032 E Sumner St, Hartford, WI 53072-1608 |
| Michelle R Schlomer | Nurse Practitioner | Prohealth Care Medical Associates Inc | 700 Quinlan Dr, Pewaukee, WI 53072-1823 |
| James M Hauke | Chiropractic | 601 Ryan St F, Pewaukee, WI 53072-1844 | |
| Linda A Zacharias | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 1109 Cecelia Dr, Pewaukee, WI 53072-2524 |
| Jennifer Greenwood | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 1109 Cecelia Dr, Pewaukee, WI 53072-2524 |
| John M Monty | Optometry | Herslof's, Inc | 1300 Capitol Dr, Pewaukee, WI 53072-2535 |
| Nameeta M Dookeran | Internal Medicine | Oak Medical Sc | 1061 Cecelia Dr, Pewaukee, WI 53072-2555 |
| Dominique S Pritchett | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 1061 Cecelia Dr, Pewaukee, WI 53072-2555 |
| Amber E Hildebrandt | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1292 Capitol Dr, Pewaukee, WI 53072-2580 |
| Lori L Wisnefski | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 1292 Capitol Dr, Pewaukee, WI 53072-2580 |
| Find all physicians in zip 53072 | |||
| City | PEWAUKEE |
| Zip Code | 53072 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEWAUKEE + NURSE PRACTITIONER |
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| 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.