Bridget E Harcus-wickersham (NPI# 1437258589, PAC ID# 5597762260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437258589 |
| PAC ID by PECOS | 5597762260 |
| Professional Enrollment ID | I20061023000524 |
| Full Name | Bridget E Harcus-wickersham |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Address |
1039 W Mason St Green Bay WI 54303-1842 |
| Phone Number | 8665795103 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416170501 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1039 W Mason St, Green Bay, WI 54303-1842 | 8665795103 | LIFE LINE COMMUNITY HEALTHCARE |
| Organization Legal Name | LIFE LINE COMMUNITY HEALTHCARE |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ciara L Eatmon | Nurse Practitioner | Life Line Community Healthcare | 625 Kenmoor Ave Se, Suite 301, Grand Rapids, MI 49546-2395 |
| Sharon Lee Morris | Nurse Practitioner | Life Line Community Healthcare | 309 Court Ave, Suite 816, Des Moines, IA 50309-2282 |
| Laura Ann Rogers | Nurse Practitioner | Life Line Community Healthcare | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4800 |
| Marian Anne Ferguson | Nurse Practitioner | Life Line Community Healthcare | 1518 Willow Lawn Dr, Richmond, VA 23230-3419 |
| Wendy Ann Lunny | Nurse Practitioner | Life Line Community Healthcare | 615 W Johnson Ave, Cheshire, CT 06410-4532 |
| Laurie Eastwood Raher | Nurse Practitioner | Life Line Community Healthcare | 7455 Arroyo Crossing Pkwy, Suite 220, Las Vegas, NV 89113-4088 |
| Grace D Ortega-walker | Nurse Practitioner | Life Line Community Healthcare | 109 E 17th St, Suite 4984, Cheyenne, WY 82001-4543 |
| Deirdre Lott | Nurse Practitioner | Life Line Community Healthcare | 406 S Boulder Ave, Suite 400, Tulsa, OK 74103-3800 |
| Shimmy Manoj | Nurse Practitioner | Life Line Community Healthcare | 1655 S Blue Island Ave, Suite 361, Chicago, IL 60608-2133 |
| Bryn Miller | Nurse Practitioner | Life Line Community Healthcare | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131-2589 |
| Street Address |
1039 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-1842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Robert R Broeckert | Qualified Audiologist | 1039 W Mason St, Green Bay, WI 54304-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Karl L Schwiesow | Ophthalmology | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Kurt A Schwiesow | Ophthalmology | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Tyson K Schwiesow | Ophthalmology | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREEN BAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bridget E Harcus-wickersham.
| 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.