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Jodi Lynn Tesch

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1305 W American Dr, Neenah, WI 54956-1993

PECOS Enrollment

This provider is enrolled in PECOS as JODI TESCH.

Based on the most recent information from CMS, provider Jodi Lynn Tesch 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
1801401252
Provider Type
Individual
Full Name
Tesch, Jodi Lynn
Gender
Female

Sole Proprietor
No
Enumeration Date
9/12/2020
Last Updated
11/13/2024

Contact Information

Practice Location

1305 W American Dr, Neenah, WI 54956-1993

(920) 725-9373

Unlisted Fax

Mailing Location

1305 W American Dr, Neenah, WI 54956-1993

(920) 725-9373

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 10361-33 Wisconsin

Jodi Lynn Tesch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ottman, Ashley K

Macwilliams, Pamela

Levine, Jane E

Ertmer, Olivia

Kossl, Sawyer

Sagorac, Karla L

Shine, Cathy Diane

Brice, Lauran M

Radtke, Michelle Marie

Kulas, Katherine