REBECCA ROSE FREESE PA NPI 1134421100

NPI Information

NPI: 1134421100
Provider Name: REBECCA ROSE FREESE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Get Directions

Rebecca Rose Freese, PA is a medical physician assistant in Milwaukee, WI with 14 years of experience. Rebecca Rose Freese, PA NPI is 1134421100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204-203
Phone: (414) 672-1353
Fax: (414) 672-4265

The NPI 1134421100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 10/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		2697	WISCONSIN	No
2	363AM0700X	Physician Assistant	Medical	2697	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100012993	MEDICAID	WISCONSIN
2	2697	OTHER	WISCONSIN	STATE OF WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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