Craig P Sullivan, DPM | |
1830 State Highway 9, Decorah, IA 52101-7301 | |
(563) 382-2931 | |
Not Available |
Full Name | Craig P Sullivan |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 37 Years |
Location | 1830 State Highway 9, Decorah, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700881182 | NPI | - | NPPES |
43212300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 628 (Wisconsin) | Secondary |
213EP1101X | Podiatrist - Primary Podiatric Medicine | 468 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossing Rivers Health Medical Center | Prairie du chien, WI | Hospital |
Winneshiek Medical Center | Decorah, IA | Hospital |
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Regional Clinics, Llc | 8820450919 | 49 |
Gundersen Clinic Ltd | 9638082779 | 325 |
Gundersen Clinic Ltd | 9638082779 | 325 |
Provider Name | Gundersen Clinic Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
Provider Name | Palmer Lutheran Health Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
Provider Name | Gundersen Regional Clinics, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699461558 PECOS PAC ID: 8820450919 Enrollment ID: O20230822002401 |
Mailing Address | Practice Location Address |
---|---|
Craig P Sullivan, DPM 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Craig P Sullivan, DPM 1830 State Highway 9, Decorah, IA 52101-7301 Ph: (563) 382-2931 |
Dr. Gregory James Valkosky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 563-382-2639 | |
Brooke A Tappe, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 563-382-2931 | |
Thomas Marquardt, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 |