Jacqueline C Wichert (NPI# 1457642589, PAC ID# 4587816103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1457642589 |
| PAC ID by PECOS | 4587816103 |
| Professional Enrollment ID | I20121206000081 |
| Full Name | Jacqueline C Wichert |
| Organization Legal Name | NORTHSHORE CLINIC AND CONSULTANTS, INC. |
| Address |
W62 N 248 Washington Ave Suite 207 Cedarburg WI 53012-2765 |
| Phone Number | 2623751116 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4486640182 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 | 2623751116 | NORTHSHORE CLINIC AND CONSULTANTS, INC. |
| Organization Legal Name | NORTHSHORE CLINIC AND CONSULTANTS, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Eiff | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Joseph J Walter | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Lisa M Sinclair | Nurse Practitioner | Northshore Clinic and Consultants, Inc. | 207 E Buffalo St, Suite 510, Milwaukee, WI 53202-5898 |
| Robert C Rockey | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Diane M Cox | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Michele M Mastalarz | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Linda A Edwards-savage | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Carol M Justin | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Street Address |
W62 N 248 WASHINGTON AVE SUITE 207 |
| City | CEDARBURG |
| State | WI |
| Zip | 53012-2765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Eiff | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Robert C Rockey | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Diane M Cox | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Michele M Mastalarz | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Linda A Edwards-savage | Clinical Social Worker | Northshore Clinic and Consultants, Inc. | W62 N 248 Washington Ave, Suite 207, Cedarburg, WI 53012-2765 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Manz | Orthopedic Surgery | M Ortho Sc | W62n179 Washington Ave, Cedarburg, WI 53012 |
| Erik R Bjork | Optometry | Perspective Vision Care LLC | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 |
| Courtney E Prasch | Physician Assistant | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Susan L Orvis | Optometry | W63 N543 B Hanover Ave, Cedarburg, WI 53012-1917 | |
| Rachel J Roesler | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Tracy Merle Geiger | Family Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Mary D Washburne | Family Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Deanne Evelyn Dunder | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Jason E Geiger | Emergency Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Marsha C Hansen | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Find all physicians in zip 53012 | |||
| City | CEDARBURG |
| Zip Code | 53012 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CEDARBURG + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jacqueline C Wichert.
| 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.