| Marcelle Bullard, PA | |
|
14555 W National Ave, New Berlin, WI 53151-4494 | |
| (262) 827-3636 | |
| Not Available |
| Full Name | Marcelle Bullard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 14555 W National Ave, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184722001 | NPI | - | NPPES |
| 385-001224 | Other | IL | IL CONTROL SUBSTANCE LIC |
| 100043751 | Medicaid | WI | |
| 085-002401 | Other | IL | IL STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085-002401 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 3485-023 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marcelle Bullard, PA 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (143) 892-3774 | Marcelle Bullard, PA 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (262) 827-3636 |
Ms. Anne E Walz Calvey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, Suite 165, New Berlin, WI 53151 Phone: 262-827-3636 | |
Ms. Terri A Wichgers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2893 S 128th St, New Berlin, WI 53151 Phone: 920-574-8670 | |
Mrs. Jacqueline K Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16505 W National Ave, New Berlin, WI 53151 Phone: 262-641-2300 Fax: 262-641-2311 | |
Elizabeth Mikelonis, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13225 W Old Oak Ln, New Berlin, WI 53151 Phone: 414-617-8787 | |
Elizabeth Frantal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, #150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Kristen Adamo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 |