Theresa Jean Niemczyk, PA-C - Medicare Physician Assistant in Greenfield, WI

Theresa Jean Niemczyk, PA-C is a medicare enrolled "Physician Assistant" in Greenfield, Wisconsin. Her current practice location is 4131 W Loomis Rd, Suite 300, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 325-7246.

Theresa Jean Niemczyk is licensed to practice in Wisconsin (license number 384-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366744716.

Contact Information

Theresa Jean Niemczyk, PA-C
4131 W Loomis Rd, Suite 300,
Greenfield, WI 53221-2057
(414) 325-7246
(414) 325-3770



Provider's Profile

Full NameTheresa Jean Niemczyk
GenderFemale
SpecialityPhysician Assistant
Location4131 W Loomis Rd, Greenfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366744716
  • Provider Enumeration Date: 11/17/2010
  • Last Update Date: 06/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921245705
  • Enrollment ID: I20130515000327

Medical Identifiers

Medical identifiers for Theresa Jean Niemczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366744716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 384-023 (Wisconsin)Secondary
363A00000XPhysician Assistant 384-23 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Jean Niemczyk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Jean Niemczyk, PA-C
4131 W Loomis Rd, Suite 300,
Greenfield, WI 53221-2057

Ph: (414) 325-7246
Theresa Jean Niemczyk, PA-C
4131 W Loomis Rd, Suite 300,
Greenfield, WI 53221-2057

Ph: (414) 325-7246

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› Verified 5 days ago


Physician Assistant Nurses in Greenfield, WI

Melissa A Lynch, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-325-5244    
Mrs. Sara I Vanderburgh, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-325-5244    Fax: 414-421-3772
Mr. Gregory M Cavanaugh, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221
Phone: 414-325-7246    Fax: 414-325-3770
Jenna M Mineau, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Sura Ln, Greenfield, WI 53228
Phone: 414-647-3146    
Kaylene Marie Frey, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4131 W Loomis Rd, Ste 300, Greenfield, WI 53221
Phone: 414-325-7246    Fax: 414-325-3770
Kimberly Anne Marshall, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221
Phone: 414-325-7246    Fax: 414-325-3770
Nancy A Spangler, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221
Phone: 414-325-7246    Fax: 414-325-3770

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