Ann J Shallue, DO | |
N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc., Sussex, WI 53089-4383 | |
(262) 820-3093 | |
(262) 532-9598 |
Full Name | Ann J Shallue |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | N57w24950 N Corporate Cir, Sussex, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548233356 | NPI | - | NPPES |
43520600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46929 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Medical Group Inc | 3476465188 | 416 |
Entity Name | Prohealth Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Ann J Shallue, DO N17w24100 Riverwood Dr Ste 250, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1177 Ph: (262) 928-4100 | Ann J Shallue, DO N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc., Sussex, WI 53089-4383 Ph: (262) 820-3093 |
Dr. Thomas Steigerwald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N63w23231 Main St Unit 100, Sussex, WI 53089 Phone: 262-785-7720 | |
Christopher Michael Peters, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089 Phone: 262-820-3093 | |
Julie N. Larsen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089 Phone: 262-820-3093 | |
Molly Elinor Storm, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N64w25037 Prospect Cir, Sussex, WI 53089 Phone: 262-532-8680 | |
Michelle Kosmalski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089 Phone: 414-566-8100 Fax: 414-566-8038 | |
Elizabeth E Brownell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc, Sussex, WI 53089 Phone: 262-820-3093 Fax: 262-532-9598 |