Renae M Patrick (NPI# 1750719050, PAC ID# 7517196868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750719050 |
| PAC ID by PECOS | 7517196868 |
| Professional Enrollment ID | I20140206001489 |
| Full Name | Renae M Patrick |
| Organization Legal Name | LAKESIDE NEUROCARE LIMITED |
| Address |
430 E Division St Fond Du Lac WI 64935-4560 |
| Phone Number | 9209235526 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032161443 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520088 | ST AGNES HOSPITAL |
| 521327 | WAUPUN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 E Division St, Fond Du Lac, WI 64935-4560 | 9209235526 | LAKESIDE NEUROCARE LIMITED |
| Organization Legal Name | LAKESIDE NEUROCARE LIMITED |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dacy C Reimer | Nurse Practitioner | Lakeside Neurocare Limited | 2700 W 9th Ave, Suite 225, Oshkosh, WI 54904-7865 |
| Lacy B Ihde | Nurse Practitioner | Lakeside Neurocare Limited | 2700 W 9th Ave, Suite 225, Oshkosh, WI 54904-7865 |
| Xian Feng Gu | Neurology | Lakeside Neurocare Limited | 2700 W 9th Ave, Suite 225, Oshkosh, WI 54904-7865 |
| Street Address |
430 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip | 64935-4560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Nidhi Kumar | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Jonathan Gedye | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Garry Jean Louis | Infectious Disease | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Marcio A Shiokawa | Internal Medicine | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Riyazuddin S Mogalai | Hospitalist | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Shannon Kane Rathke | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Joan L Mueller | Pathology | Fond Du Lac Pathology Consultants | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| John M Mamalakis | Anesthesiology | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Germana Lm Silva | Anesthesiology | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Find all physicians in the same address | |||
| City | FOND DU LAC |
| Zip Code | 64935 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FOND DU LAC + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renae M Patrick.
| 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.