Individual ProviderKatrina BurettaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660(414) 385-2337PECOS EnrollmentBased on the most recent information from CMS, provider Katrina Buretta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457806390Provider TypeIndividualFull NameBuretta, KatrinaGenderFemaleSole ProprietorNoEnumeration Date8/21/2016Last Updated8/24/2023Contact InformationPractice LocationPractice Address2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660Phone(414) 385-2337FaxUnlisted FaxMailing LocationMailing Address2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660Phone(414) 385-2337FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense7185WisconsinCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense7185-33WisconsinProvider IdentifiersIDDescriptionIssuerID100062496DescriptionMedicaidIssuerUnlistedWisconsin