ROSALEE ANNE BERTRAM (NPI# 1417414574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417414574 |
| Entity Type | Individual |
| Full Name | ROSALEE ANNE BERTRAM |
| Credential | PHARMD |
| Practice Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Practice Telephone | 6083555177 |
| Mailing Telephone | 6083555177 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
19270-40 | WI | Pharmacy Service Providers |
| Street Address |
S2845 WHITE EAGLE RD |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898818 | Chandra S Reddy | Internal Medicine | S2845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2006-07-07 |
| 1720610454 | Brittany Marie Hayes | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2020-02-11 |
| 1407378193 | Abigail Moore | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2017-07-13 |
| 1265977425 | Kyla Ripp | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-12-27 |
| 1134672975 | Lisa T Bargender | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913 | 2016-07-28 |
| 1730546961 | Allie Isaacson | Registered Nurse | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-01-19 |
| 1104248160 | Christine Preston | Social Worker | S2845 White Eagle Rd, Baraboo, WI 53913 | 2014-01-10 |
| 1033531108 | Joseph White Eagle Sr. | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2014-01-09 |
| 1982943171 | Hussain Harun | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2013-02-07 |
| 1134478373 | Hannah Hatlan-atwell | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2012-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| 1497187181 | Sarah J Wilczek | Pharmacist | 699 S Green Bay Rd, Neenah, WI 54956-3153 | 2013-08-05 |
| 1528311206 | Meaghan A Mcmurray | Pharmacist | 10932 N Port Washington Rd, Mequon, WI 53092-5031 | 2012-10-18 |
| 1417225731 | Lisa Marie Mlodzik | Pharmacist | 1316 30th Ct, Kenosha, WI 53144-3064 | 2011-12-01 |
| 1083891584 | Tricia Lyn Dissmore | Pharmacist | 806 Greenwood St, Holmen, WI 54636-8003 | 2008-01-28 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.