Look up the most recent NPI and PECOS records

My See Luangla

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider My See Luangla 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
1861749293
Provider Type
Individual
Full Name
Luangla, My See
Credential
APNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/3/2012
Last Updated
8/29/2014

Contact Information

Practice Location

101 Main St, Neenah, WI 54956-2570

(920) 727-4420

Unlisted Fax

Mailing Location

101 Main St, Neenah, WI 54956-2570

(920) 727-4420

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 147753-30 Wisconsin

My See Luangla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gruendemann, Janet L

Tesch, Jodi Lynn

Rennert, Rebecca L

Branstrom, Kelly

Neilsen, Kristin

Schiesl, Linda L

Frank, Brenna Lee

Levine, Jane E

Munson, Christine Ann

Marasco, Amber R