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Amber Marie Demerath

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

300 N Commercial St # 300, Neenah, WI 54956-2619

PECOS Enrollment

This provider is enrolled in PECOS as AMBER DEMERATH.

Based on the most recent information from CMS, provider Amber Marie Demerath 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1356072417
Provider Type
Individual
Full Name
Demerath, Amber Marie
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/20/2022
Last Updated
4/23/2024

Contact Information

Practice Location

300 N Commercial St # 300, Neenah, WI 54956-2619

(920) 886-0818

Unlisted Fax

Mailing Location

529 Van St, Neenah, WI 54956-2468

(920) 428-5282

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11954-33 Wisconsin

Amber Marie Demerath

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Koch, Tricia A

Lederhaus, Kim N

Williams, Christopher John

Lillie, Jessica Marie

Munson, Christine Ann

Sagorac, Karla L

Herkstroeter, Megan Rae

Piwoni, Stephanie Jean

Marasco, Amber R

Rennert, Rebecca L