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Faustina Andreae

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 Faustina Andreae 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
1245938596
Provider Type
Individual
Full Name
Andreae, Faustina
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/16/2023
Last Updated
1/18/2024

Contact Information

Practice Location

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

(414) 877-5350

Unlisted Fax

Mailing Location

136 N Orchard St, Thiensville, WI 53092-1509

(715) 505-6830

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7441-23 Wisconsin

Faustina Andreae

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ziegler, Zachary Evan

Bell, Nathan P.

Patzlsberger, Antoinette Marie

Jodat, Jacob

Smith, Bente E

Reinhardt, Shelby Rae

Buczkowski, Lauren Holly

Kazik, Jacqueline

Brzeski, Claire M

Koller, Mikaela J