Dr Paola A Palma Sisto, MD | |
2575 E Evergreen Drive, Appleton, WI 54913-8904 | |
(920) 969-5353 | |
(414) 337-7201 |
Full Name | Dr Paola A Palma Sisto |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 2575 E Evergreen Drive, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982658936 | NPI | - | NPPES |
002006261K | Other | HUMANA | |
1982658936 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 42192 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Dr Paola A Palma Sisto, MD 2575 E Evergreen Drive, Appleton, WI 54913-8904 Ph: (920) 969-5353 | Dr Paola A Palma Sisto, MD 2575 E Evergreen Drive, Appleton, WI 54913-8904 Ph: (920) 969-5353 |
Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201 | |
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 | |
Patricia M Callahan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-831-5050 | |
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670 | |
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 |