| Abigail Ellifson, | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (414) 434-5000 | |
| Not Available |
| Full Name | Abigail Ellifson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 2 Years |
| Location | 36500 Aurora Dr, Summit, 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 |
|---|---|---|---|
| 1437964384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1107 |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Ellifson, Po Box 735044, Chicago, IL 60673-5044 Ph: Not Available | Abigail Ellifson, 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (414) 434-5000 |
Rachel Hyland, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 |
Kira Greenwood, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2248 |
Emily G Holzwart, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |
Cynthia Hesse, M.S.,R.D.,C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2246 |
Mrs. Amanda Rae Motl, RD, CD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2247 |