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Hailee Anna Friederick

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

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

PECOS Enrollment

This provider is enrolled in PECOS as HAILEE FRIEDERICK.

Based on the most recent information from CMS, provider Hailee Anna Friederick 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
1811620636
Provider Type
Individual
Full Name
Friederick, Hailee Anna
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/8/2022
Last Updated
3/12/2025

Contact Information

Practice Location

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

(414) 877-5350

Unlisted Fax

Mailing Location

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

(414) 877-5350

Unlisted Fax

Provider Taxonomies

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

Hailee Anna Friederick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lawson, Kelly

Farley, Samuel Colt

Becker, Susan R

Andreae, Faustina

Scott, Ann P

Strege, Brittni Marie

Butts, Caroline Wheeler

Kazik, Jacqueline

Bouton, Todd Andrew

Hagen, Demi Elisabeth