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Kristen A Kopatich Pasewald

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy, Ste 435, Milwaukee, WI 53215-3669

PECOS Enrollment

This provider is enrolled in PECOS as KRISTEN KOPATICH PASEWALD.

Based on the most recent information from CMS, provider Kristen A Kopatich Pasewald 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
1659522068
Provider Type
Individual
Full Name
Kopatich Pasewald, Kristen A
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/3/2008
Last Updated
4/13/2018

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy, Ste 435, Milwaukee, WI 53215-3669

(414) 258-0670

Unlisted Fax

Mailing Location

2801 W Kk River Pkwy, Ste 445, Milwaukee, WI 53215-5215

(414) 588-6178

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3521 Wisconsin

Kristen A Kopatich Pasewald

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Moreno, Samantha

Simandl, Scott C

Mattes, Elizabeth

Del Gaudio, Leah Marie

Silovich, Ashley C

Thomas, Michael B

Stange, Katelyn K

Johnson, Pamela S

Goelz, Jessica F

Rubach, Stephanie