| Adam Christopher Kelly, PA | |
|
36500 Aurora Dr, Department Of Pediatrics- Neonatal Icu, Summit, WI 53066-4899 | |
| (262) 434-4900 | |
| (262) 434-4901 |
| Full Name | Adam Christopher Kelly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 36500 Aurora Dr, Summit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891974218 | NPI | - | NPPES |
| 100011852 | Medicaid | WI | |
| 2363-23 | Other | WI | WISCONSIN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2363-23 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Christopher Kelly, PA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Adam Christopher Kelly, PA 36500 Aurora Dr, Department Of Pediatrics- Neonatal Icu, Summit, WI 53066-4899 Ph: (262) 434-4900 |
Kody Lewis, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Alexandra Denise Disrud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Sandra R Hansen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Erica M Dziatkiewicz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Sarah R Hirsbrunner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Ms. Joanne R Timmerman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5029 | |
Elizabeth Daniels, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 |