Jennifer L Evancy (NPI# 1154486876, PAC ID# 9335417419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1154486876 |
| PAC ID by PECOS | 9335417419 |
| Professional Enrollment ID | I20170613002719 |
| Full Name | Jennifer L Evancy |
| Organization Legal Name | PROFESSIONAL SERVICES GROUP INC. |
| Address |
2108 63rd St Kenosha WI 53143-4454 |
| Phone Number | 2626522406 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8224296454 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2108 63rd St, Kenosha, WI 53143-4454 | 2626522406 | PROFESSIONAL SERVICES GROUP INC. |
| Organization Legal Name | PROFESSIONAL SERVICES GROUP INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Dashner | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Shannon G O Brien | Clinical Social Worker | Professional Services Group Inc. | 1205 S 70th St, Suite 301, West Allis, WI 53214-3167 |
| Kemba M Banyard | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Tierney Voit | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jonathan T Grapengieser | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Leah J Featherstone | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Renee M Andreoli | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Amy Macdonald Wojcik | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Lisa S Thill | Clinical Social Worker | Professional Services Group Inc. | 1205 S 70th St, Suite 301, West Allis, WI 53214-3167 |
| Dionna Lashaun Mcferrin | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Street Address |
2108 63RD ST |
| City | KENOSHA |
| State | WI |
| Zip | 53143-4454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Dashner | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Kemba M Banyard | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Tierney Voit | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jonathan T Grapengieser | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Leah J Featherstone | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Renee M Andreoli | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Amy Macdonald Wojcik | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Dionna Lashaun Mcferrin | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Brian A Wolf | Clinical Psychologist | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Bower | Optometry | Robert B. Bower, O.d., S.c. | 2301 75th St, Kenosha, WI 53143-1403 |
| Eugene John Eldridge | Ophthalmology | 1400 75th St, Kenosha, WI 53143-1544 | |
| Mary A Alford | Clinical Social Worker | Amri Counseling Services LLC | 6321 23rd Ave, Kenosha, WI 53143-4801 |
| Hanna Mariani | Endocrinology | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| John Anthony Martini | Family Medicine | Ihc Hospitalists LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Aimee C Ledesma | Family Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Mark Vytlacil | Pathology | Kenosha Pathology Consultants | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Michael Zeihen | Internal Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Sarah Stasiewicz | Physician Assistant | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Andrew W Harron | Diagnostic Radiology | Ihc Kenosha Radiology LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Find all physicians in zip 53143 | |||
| City | KENOSHA |
| Zip Code | 53143 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | KENOSHA + CLINICAL SOCIAL WORKER |
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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.