Beau E Brackey (NPI# 1659845238, PAC ID# 9234478876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659845238 |
| PAC ID by PECOS | 9234478876 |
| Professional Enrollment ID | I20190226003284 |
| Full Name | Beau E Brackey |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
710 Riverside Dr Waupaca WI 54981-1941 |
| Phone Number | 7152563000 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521334 | RIVERSIDE MEDICAL CENTER |
| 521326 | NEW LONDON FAMILY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 710 Riverside Dr, Waupaca, WI 54981-1941 | 7152563000 | THEDACARE INCORPORATED |
| Organization Legal Name | THEDACARE INCORPORATED |
| Physicians | 485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kubisch | Physician Assistant | Thedacare Incorporated | 1405 Mill St, New London, WI 54961-2155 |
| Anna L King | Physician Assistant | Thedacare Incorporated | 1818 N Meade St Room, N255, Appleton, WI 54911-3454 |
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer E Szmanda | Pediatric Medicine | Thedacare Incorporated | 640 Deerwood Ave, Neenah, WI 54956-7110 |
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Taylor B Doberstein | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plaza, Suite 350, Neenah, WI 54956-2790 |
| Rachel A Savage | Nurse Practitioner | Thedacare Incorporated | 400 S Maple St, Black Creek, WI 54106-9787 |
| Street Address |
710 RIVERSIDE DR |
| City | WAUPACA |
| State | WI |
| Zip | 54981-1941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Bradley Klein | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Sarah C Durst | Family Medicine | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Nancy A Pejsa | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Hannah J Jochman | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Michelle A Soto | Family Medicine | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| James P Spencer | Family Medicine | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Joy B Kobiske | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Chelsea N Shulfer | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Michael H Bauer | Family Medicine | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L. Gauerke | Optometry | 815 W Fulton St, Suite 3, Waupaca, WI 54981-1405 | |
| Daniel R Everts | Optometry | 308 W Fulton St, Waupaca, WI 54981-1422 | |
| Stuart J Boelte | Chiropractic | 1326 Royalton St, Waupaca, WI 54981-1609 | |
| Gina M Koch | Chiropractic | Koch Chiropractic and Wellness Center | 418 School St, Waupaca, WI 54981-1626 |
| Jean L Rice | Chiropractic | Koch Chiropractic and Wellness Center | 418 School St, Waupaca, WI 54981-1626 |
| Chad A Cloutier | Chiropractic | 830 School St, Waupaca, WI 54981-1633 | |
| Wendy G Johnson | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kaelyn E Huebschman | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Ashley S Garavet | Family Practice | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Christine W Burnett | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Find all physicians in zip 54981 | |||
| City | WAUPACA |
| Zip Code | 54981 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAUPACA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Beau E Brackey.
| 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.