Look up the most recent NPI and PECOS records

Kaitlyn Nicole Foley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1155 N Mayfair Rd, Wauwatosa, WI 53226-3462

PECOS Enrollment

This provider is enrolled in PECOS as KAITLYN FOLEY.

Based on the most recent information from CMS, provider Kaitlyn Nicole Foley 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
1831920032
Provider Type
Individual
Full Name
Foley, Kaitlyn Nicole
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2024
Last Updated
8/21/2024

Contact Information

Practice Location

1155 N Mayfair Rd, Wauwatosa, WI 53226-3462

(414) 955-5990

(414) 955-6282

Mailing Location

1155 N Mayfair Rd, Wauwatosa, WI 53226-3462

(414) 955-5990

(414) 955-6282

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8074 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 1831920032	Description Medicaid	Issuer Unlisted Wisconsin

Kaitlyn Nicole Foley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hammen, Carolyn M

Foley, Patrick R.

Montalbano, Jasper Gabriel

Loftis, Shannon

Fox, Kyle D.

Kapla, Trent

Lemke, Pooja Singh

Nordquist, Haylie Brynne Hansen

Reinhardt, Shelby Rae

Schiller, Dean O