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Cynthia Bellanger

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4111 W Mitchell St, Milwaukee, WI 53215-1748

PECOS Enrollment

Based on the most recent information from CMS, provider Cynthia Bellanger 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
1164887063
Provider Type
Individual
Full Name
Bellanger, Cynthia
Credential
AGPCNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/18/2015
Last Updated
12/8/2021

Contact Information

Practice Location

4111 W Mitchell St, Milwaukee, WI 53215-1748

(414) 643-5755

Unlisted Fax

Mailing Location

4111 W Mitchell St, Milwaukee, WI 53215-1748

(414) 643-5755

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 6730-33 Wisconsin

Cynthia Bellanger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Niederstadt, Jennifer A

Szudrowitz Warner, Danielle K

Heppe, Megan M

Masaka, Kimiyo M

Christian, Jordan Jean

Malone, Anna Tai

Silovich, Ashley C

Freeland, Kathleen A

Thomas, Michael B

Maney, Kristen M