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Katherine Townsend

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315

PECOS Enrollment

Based on the most recent information from CMS, provider Katherine Townsend 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
1407378292
Provider Type
Individual
Full Name
Townsend, Katherine
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/12/2017
Last Updated
7/12/2017

Contact Information

Practice Location

10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315

(414) 877-5350

Unlisted Fax

Mailing Location

1223 N 62nd St Apt 103, Wauwatosa, WI 53213-3079

(920) 621-2683

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Katherine Townsend

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kovarik, Olivia Jean

Gore, Nicholas

Thakrar, Anjali D

Flatley, Ann M

Beine, Erica Lynn

Bahrke, Barbara A.

Vaerewyck, Wendy M

Corcoran, Jennifer

Toth, Heidi J

Hermsen, Adam R