Look up the most recent NPI and PECOS records

Antoinette Marie Patzlsberger

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

9000 W Wisconsin Ave, Milwaukee, WI 53226

PECOS Enrollment

This provider is enrolled in PECOS as ANTOINETTE SMITH.

Based on the most recent information from CMS, provider Antoinette Marie Patzlsberger 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
1225690548
Provider Type
Individual
Full Name
Patzlsberger, Antoinette Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
7/8/2019
Last Updated
1/24/2025

Contact Information

Practice Location

9000 W Wisconsin Ave, Milwaukee, WI 53226

(414) 337-7050

(414) 337-7020

Mailing Location

9000 W Wisconsin Ave, Milwaukee, WI 53226-4874

(414) 337-7050

(414) 337-7020

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 4763-23 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 1225690548	Description Medicaid	Issuer Unlisted Wisconsin

Antoinette Marie Patzlsberger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Conner, Cheryl L

Treat, Matthew W

Krueger, Kathryn E

Bouton, Todd Andrew

Fell, Ryan S

Thakrar, Anjali D

Carr, Madeline

Fox, Kyle D.

Montalbano, Jasper Gabriel

Davis, Ellen