Individual ProviderMeredith A LegreePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215-3669(414) 649-3776PECOS EnrollmentBased on the most recent information from CMS, provider Meredith A Legree does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1619909538Provider TypeIndividualFull NameLegree, Meredith ACredentialPAGenderFemaleSole ProprietorNoEnumeration Date7/7/2006Last Updated3/26/2015Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215-3669Phone(414) 649-3776Fax(414) 643-1588Mailing LocationMailing Address2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215-3669Phone(414) 649-3776Fax(414) 643-1588Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1998WisconsinProvider IdentifiersIDDescriptionIssuerID1093966178DescriptionMedicaidIssuerUnlistedWisconsin