Melissa D Berggren (NPI# 1639377617, PAC ID# 8527150044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639377617 |
| PAC ID by PECOS | 8527150044 |
| Professional Enrollment ID | I20070828000675 |
| Full Name | Melissa D Berggren |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Address |
360 S Mountin Dr Mayville WI 53050-1498 |
| Phone Number | 9203872111 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658289624 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520088 | ST AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 E Division St, Fond Du Lac, WI 54935-4560 | AGNESIAN HEALTHCARE INC | |
| 430 E Division St, Fond Du Lac, WI 54935-4560 | 9209292300 | AGNESIAN HEALTHCARE INC |
| 360 S Mountin Dr, Mayville, WI 53050-1498 | 9203872111 | AGNESIAN HEALTHCARE INC |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Covach | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Kandipati Sreenivasarao | Family Medicine | Agnesian Healthcare Inc | 723 Parkridge Lane, North Fond Du Lac, WI 54937 |
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Suzanne T Mcgoey | Dermatology | Agnesian Healthcare Inc | 912 S Hickory St, Fond Du Lac, WI 54935-5530 |
| Robert M Bertram | Podiatry | Agnesian Healthcare Inc | 790 Eastgate Dr, Ripon, WI 54971-9614 |
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Bret N Pasiuk | Nephrology | Agnesian Healthcare Inc | 110 Monroe St, Beaver Dam, WI 53916-2437 |
| Jodi R Budwit | Nurse Practitioner | Agnesian Healthcare Inc | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Bryan J Henslin | Chiropractic | Agnesian Healthcare Inc | 305 Camelot Dr, Fond Du Lac, WI 54935-8014 |
| Jeffrey A Strong | Family Medicine | Agnesian Healthcare Inc | 100 Evergreen Rd, Mt Calvary, WI 53057-9726 |
| Street Address |
360 S MOUNTIN DR |
| City | MAYVILLE |
| State | WI |
| Zip | 53050-1498 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha L Ketterer | Family Medicine | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Yasir Hatahet | Pulmonary Disease | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Beth Collister | Family Medicine | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| David V Maruska | Family Medicine | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Janette L Drews | Nurse Practitioner | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Kimberly A Udlis | Nurse Practitioner | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Jean N Rusch | Nurse Practitioner | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Rebecca R Hoerth | Nurse Practitioner | Agnesian Healthcare Inc | 360 S Mountin Dr, Mayville, WI 53050-1498 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Grossman Jr. | Orthopedic Surgery | Agnesian Healthcare Inc | 305 Clark St, Mayville, WI 53050 |
| Cassandre Bezold Hetzer | Optometry | 935 Horicon St, Mayville, WI 53050-1428 | |
| Nicole Helen Schroeder | Chiropractic | Horicon Street Chiropractic Sc | 935 Horicon St, Mayville, WI 53050-1428 |
| Sarah M Frings-netys | Chiropractic | Horicon Street Chiropractic Sc | 935 Horicon St, Mayville, WI 53050-1428 |
| Rodney L Barnes | Chiropractic | 1026 Horicon St, Mayville, WI 53050-1429 | |
| Duy-bao P Dinh | General Surgery | Precision Wound Care LLC | 305 S Clark St, Mayville, WI 53050-1488 |
| Charles E Sammis | Family Practice | 130 S Main St, Mayville, WI 53050-1620 | |
| John T Riegleman | Chiropractic | 1 S Main St, Mayville, WI 53050-1641 | |
| Seamus M Garvey | Physical Therapy | Back In Action Rehabilitation Sc | N8218 State Rd, Suite 28, Mayville, WI 53050-2126 |
| Brock A Hanke | Physical Therapy | Back In Action Rehabilitation Sc | N8218 State Rd, Suite 28, Mayville, WI 53050-2126 |
| Find all physicians in zip 53050 | |||
| City | MAYVILLE |
| Zip Code | 53050 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAYVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Melissa D Berggren.
| 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.