Northeast Wisconsin Foot and Ankle Assoc SC
A Medicare group practice based in Appleton, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8527000850), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8527000850
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050526000714 | WI | Part B Supplier - Clinic/Group Practice | 1093716177 |
| O20100930090274 | WI | DME Supplier - Physician - Podiatry | 1093716177 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northeast Wisconsin Foot and Ankle Assoc., S.C.
- Primary Podiatric Medicine Podiatrist
- Appleton, WI
- NPI 1093716177
-
Timothy Kevin Tougas, DPM
- Primary Podiatric Medicine Podiatrist
- Appleton, WI
- NPI 1093711491
Practice locations
- Appleton, WI2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
Kara L Brochtrup, APNP
- Nurse Practitioner
- Appleton, WI
- NPI 1467702241
-
Todd Alan Derksen, DPM
- Foot & Ankle Surgery Podiatrist
- Appleton, WI
- NPI 1053578682
-
Katie Jean Des Jardins
- Nurse Practitioner
- Appleton, WI
- NPI 1982075701
-
Marissa McNelly Le, DPM
- Podiatrist
- Wheat Ridge, CO
- NPI 1295149391
-
Theresa Lynn Schinke, DPM
- Podiatrist
- Appleton, WI
- NPI 1043210594
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.