Mrs. Marina Deatherage is a Lake Geneva, Wisconsin based nurse practitioner with 5 years of experience in Family. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Marina Deatherage is 10857-033 in Wisconsin. Her current practice location is 146 E Geneva Sq, Lake Geneva. Patients can reach her at 262-249-4660 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1538706858. Mrs. Marina Deatherage delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mrs. Marina Deatherage speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Marina Deatherage
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
146 E Geneva Sq, Lake Geneva, Wisconsin, 53147-9694
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3274941711
Enrollment ID:
I20210421001374
NPI Number:
1538706858
NPI Enumeration Date:
05 Dec, 2019
NPI Last Update On:
30 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Marina Deatherage are as mentioned below.
License Number
Specialization
State
Status
10857-033
Wisconsin
Primary
209020317
Family
Illinois
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Marina Deatherage is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)
2867
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Marina Deatherage such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100162164
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Marina Deatherage 146 E Geneva Sq, Lake Geneva, Wisconsin
Zip:
53147-9694
Phone Number:
262-249-4660
Patients can reach Mrs. Marina Deatherage at 146 E Geneva Sq, Lake Geneva, Wisconsin or can call to book an appointment on 262-249-4660.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.