Theresa E Sullivan, DO, MPH | |
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
(262) 799-8700 | |
Not Available |
Full Name | Theresa E Sullivan |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 13 Years |
Location | 13250 Washington Ave, Mount Pleasant, 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 |
---|---|---|---|
1447539655 | NPI | - | NPPES |
100040719 | Medicaid | WI | |
032.0109679 | Other | VT | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125060039 (Illinois) | Secondary |
207R00000X | Internal Medicine | 62926 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 62926 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Aurora Llc | 0244130557 | 175 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
Theresa E Sullivan, DO, MPH Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 649-6000 | Theresa E Sullivan, DO, MPH 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Sachin H. Panchal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Dr. Srinivasa R. Pamulapati, MD. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-884-4000 | |
Saloni Jaiswal, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8700 | |
Ali Taha Hamoudi Hamoudi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Farah Faridi, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 847-316-4000 |