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Alison Vida

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kk River Pkwy, Suite 930, Milwaukee, WI 53215-3669

PECOS Enrollment

Based on the most recent information from CMS, provider Alison Vida is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053787499
Provider Type
Individual
Full Name
Vida, Alison
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/20/2015
Last Updated
12/23/2021

Contact Information

Practice Location

2801 W Kk River Pkwy, Suite 930, Milwaukee, WI 53215-3669

(414) 384-5111

Unlisted Fax

Mailing Location

3003 W Good Hope Rd, Milwaukee, WI 53209-2042

(414) 352-3100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 6555 Wisconsin

Alison Vida

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lesniewski, Jennifer A

Schmitt, Patrick Joseph

Del Gaudio, Leah Marie

Solomon, Sharon Jean

Malone, Anna Tai

Goedde, Samantha J

Sanders, Heather Kathleen

Bergstrom, Barbara A

Lauzon, Merissa E

Reich, Michael Scott