Mrs Jessica Sullivan, APNP | |
2024 Willow Pond Way, Grafton, WI 53024-9101 | |
(725) 239-1174 | |
Not Available |
Full Name | Mrs Jessica Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2024 Willow Pond Way, Grafton, 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 |
---|---|---|---|
1497380778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9871-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 270 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Sullivan, APNP 2024 Willow Pond Way, Grafton, WI 53024-9101 Ph: () - | Mrs Jessica Sullivan, APNP 2024 Willow Pond Way, Grafton, WI 53024-9101 Ph: (725) 239-1174 |
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Patricia G Wilhelme, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
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