Sara Ebsen, AGPCNP-BC | |
1284 N Summit Ave, Oconomowoc, WI 53066-4459 | |
(262) 560-3700 | |
Not Available |
Full Name | Sara Ebsen |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1284 N Summit Ave, Oconomowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740918754 | NPI | - | NPPES |
1740918754 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 13424-033 (Wisconsin) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 232463 (Wisconsin) | Secondary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Sara Ebsen, AGPCNP-BC Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Sara Ebsen, AGPCNP-BC 1284 N Summit Ave, Oconomowoc, WI 53066-4459 Ph: (262) 560-3700 |
Jodi Tompitch, APNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 414-587-1430 | |
Gail Buchberger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 Hickory Creek Dr, Oconomowoc, WI 53066 Phone: 262-391-6421 Fax: 262-354-0627 | |
Evgeniya Khen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-9400 | |
Dr. Cassandra Kneifl, DNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-303-2131 | |
Jessica Shumow, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-4411 | |
Sarah Jean Sanford-smith, MSN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1185 Corporate Center Dr, Oconomowoc, WI 53066 Phone: 262-928-8400 | |
Ms. Karen L Youngquist, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 Fax: 262-569-2254 |