Sara Degrand, | |
101 School Creek Trl, Luxemburg, WI 54217-1095 | |
(920) 845-2351 | |
Not Available |
Full Name | Sara Degrand |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 101 School Creek Trl, Luxemburg, 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 |
---|---|---|---|
1164878484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 190795-30 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Vincent Hospital | Green bay, WI | Hospital |
St Mary's Hospital Medical Center | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
Entity Name | Prevea Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Sara Degrand, 101 School Creek Trl, Luxemburg, WI 54217-1095 Ph: (920) 845-2351 | Sara Degrand, 101 School Creek Trl, Luxemburg, WI 54217-1095 Ph: (920) 845-2351 |
Ms. Jean L Keim, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-2351 Fax: 920-845-2001 | |
Elyse Marie Engebose, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140b School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-1370 Fax: 920-845-1379 | |
Sally Jo Ledvina, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: E1430 Krines Rd, Luxemburg, WI 54217 Phone: 920-863-6580 | |
Mrs. Cheryl A Rentmeester, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 B School Creek Trail, Luxemburg, WI 54217 Phone: 920-845-1370 |