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NPI Code Detail

MEDICARE: BRITTANY KAY GEROVAC PA-C

MEDICARE: BRITTANY KAY GEROVAC PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5107WI
2207RA0401XAddiction Medicine (Internal Medicine) Physician5107WI
3363AM0700XMedical Physician Assistant5107-23WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821624925
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY KAY GEROVAC PA-C
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5618 ODANA RD
Second Line :
City : MADISON
State : WI
Zip : 53719-1208
Country : US
Telephone Number : 608-274-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 03/09/2026

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