Casey J Brown (NPI# 1487053005, PAC ID# 9032330253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1487053005 |
PAC ID by PECOS | 9032330253 |
Professional Enrollment ID | I20141031000502 |
Full Name | Casey J Brown |
Organization Legal Name | WATERTOWN PHYSICIAN PRACTICES LLC |
Address |
W1046 Marietta Ave Suite 230 Ixonia WI 53036-9498 |
Phone Number | 9202066310 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8022329408 |
Number of Group Practice Members | 63 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520116 | WATERTOWN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 | 9202066310 | WATERTOWN PHYSICIAN PRACTICES LLC |
Organization Legal Name | WATERTOWN PHYSICIAN PRACTICES LLC |
Physicians | 50 |
Name | Specialty | Organization | Address |
---|---|---|---|
Helen E Box | Family Medicine | Watertown Physician Practices LLC | 344 S Western Ave, Juneau, WI 53039-1163 |
Terry Lester Turke | Family Medicine | Watertown Physician Practices LLC | 132 Hospital Dr, Watertown, WI 53098-3304 |
Jenifer A Siragusa | Internal Medicine | Watertown Physician Practices LLC | 540 Village Walk Ln J, Johnson Creek, WI 53038-9554 |
Steven P Rhodes | Orthopedic Surgery | Watertown Physician Practices LLC | 111 Anna St, Waterloo, WI 53594-1184 |
Danish S Siddiqui | Obstetrics/gynecology | Watertown Physician Practices LLC | 128 Hospital Dr, Watertown, WI 53098-3304 |
Sarah J Barnett | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
Michael A Grajewski | Family Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
Sandra Kay Roof | Nurse Practitioner | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
Moazam J Samdani | Internal Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
Terry Mark Roman | Orthopedic Surgery | Watertown Physician Practices LLC | 540 Village Walk Ln J, Johnson Creek, WI 53038-9554 |
Street Address |
W1046 MARIETTA AVE SUITE 230 |
City | IXONIA |
State | WI |
Zip | 53036-9498 |
City | IXONIA |
Zip Code | 53036 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IXONIA + 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.