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Katrina Patterson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy, Suite 550, Milwaukee, WI 53215-3669

PECOS Enrollment

Based on the most recent information from CMS, provider Katrina Patterson 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
1538471396
Provider Type
Individual
Full Name
Patterson, Katrina
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2010
Last Updated
10/23/2022

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy, Suite 550, Milwaukee, WI 53215-3669

(414) 385-7150

Unlisted Fax

Mailing Location

1502 S 12th St, Sheboygan, WI 53081-5244

(920) 207-8628

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2574-23 Wisconsin
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2574-23 Wisconsin

Katrina Patterson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kannenberg, Kelsey

Koth, Amanda J

Sabin, Kiley Elizabeth

Pflum, Lauren Elizabeth

Nguyen-Hoye, Mongtuyen

Schrik, Sarah Catherine

Cook, Jenna

Tennant, Madeline

Irby, Shemeka

Mcelligott, Stephanie Annakay