| Ann J Shallue, DO | |
|
N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc., Sussex, WI 53089-4383 | |
| (262) 820-3093 | |
| (262) 532-9598 |
| Full Name | Ann J Shallue |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | N57w24950 N Corporate Cir, Sussex, 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 |
|---|---|---|---|
| 1548233356 | NPI | - | NPPES |
| 43520600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46929 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann J Shallue, DO N17w24100 Riverwood Dr Ste 250, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1177 Ph: (262) 928-4100 | Ann J Shallue, DO N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc., Sussex, WI 53089-4383 Ph: (262) 820-3093 |
Dr. Thomas Steigerwald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N63w23231 Main St Unit 100, Sussex, WI 53089 Phone: 262-785-7720 | |
Christopher Michael Peters, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089 Phone: 262-820-3093 | |
Julie N. Larsen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089 Phone: 262-820-3093 | |
Molly Elinor Storm, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N64w25037 Prospect Cir, Sussex, WI 53089 Phone: 262-532-8680 | |
Elizabeth E Brownell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc, Sussex, WI 53089 Phone: 262-820-3093 Fax: 262-532-9598 | |
Frances Barbara Schanz, NP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: N69w23301 Salem Ct E, Sussex, WI 53089 Phone: 414-313-0422 |