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Elizabeth Bisciglia

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Bisciglia is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104524966
Provider Type
Individual
Full Name
Bisciglia, Elizabeth
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/21/2023
Last Updated
6/21/2023

Contact Information

Practice Location

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

(414) 877-5350

Unlisted Fax

Mailing Location

10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7458 Wisconsin

Elizabeth Bisciglia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hermsen, Adam R

Townsend, Katherine

Kovarik, Olivia Jean

Flatley, Ann M

Carr, Madeline

Mcdonald, Mark C

Gustavson, Kristin Margaret

Gangl, Joshua

Ziegler, Zachary Evan

Ramirez, Sarah J