Look up the most recent NPI and PECOS records

Melissa Marie Whitehouse

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677

PECOS Enrollment

This provider is enrolled in PECOS as MELISSA WHITEHOUSE.

Based on the most recent information from CMS, provider Melissa Marie Whitehouse 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 11:26 AM.

Profile Details

Provider ID
1093168189
Provider Type
Individual
Full Name
Whitehouse, Melissa Marie
Title
Mrs.
Credential
PHYSICIAN ASSISTANT

Gender
Female
Sole Proprietor
No
Enumeration Date
7/13/2016
Last Updated
11/23/2021

Contact Information

Practice Location

2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677

(414) 649-5646

Unlisted Fax

Mailing Location

N47w27547 Lynndale Rd, Pewaukee, WI 53072-1751

(414) 628-8751

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3788-23 Wisconsin

Melissa Marie Whitehouse

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nicholas, Allyssa A

Kannenberg, Kelsey

Sinitz, Cheryl L.

Tennant, Madeline

Notebaart, Katie C

Kreisler, Todd G

Hartmann, Emma Rose

Ganju, Anna L

Glodowski, Kelly M

Hamilton, Madison F