Sheila Kerri Sullivan, DO | |
123 Hospital Drive, Suite 1002, Watertown, WI 53098-3320 | |
(920) 261-8225 | |
(920) 261-5343 |
Full Name | Sheila Kerri Sullivan |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 15 Years |
Location | 123 Hospital Drive, Watertown, 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 |
---|---|---|---|
1992023493 | NPI | - | NPPES |
1992023493 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 61084-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Watertown Memorial Hospital | Watertown, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watertown Physician Practices Llc | 8022329408 | 56 |
Entity Name | Watertown Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
Sheila Kerri Sullivan, DO 123 Hospital Drive, Suite 1002, Watertown, WI 53098-3320 Ph: (920) 261-8225 | Sheila Kerri Sullivan, DO 123 Hospital Drive, Suite 1002, Watertown, WI 53098-3320 Ph: (920) 261-8225 |
George Andrew Boush, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 123 Hospital Dr, Suite 1002, Watertown, WI 53098 Phone: 920-261-8225 Fax: 920-261-5343 | |
Edward J Hoy, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 123 Hospital Dr, Ste 1002, Watertown, WI 53098 Phone: 920-261-8225 Fax: 920-261-5343 | |
Holly C Van Hecke, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 123 Hospital Drive, Suite 1002, Watertown, WI 53098 Phone: 920-261-8225 Fax: 920-261-5343 |