| Dr Paola A Palma Sisto, MD | |
|
2575 E Evergreen Drive, Appleton, WI 54913-8904 | |
| (920) 969-5353 | |
| (414) 337-7201 |
| Full Name | Dr Paola A Palma Sisto |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 2575 E Evergreen Drive, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982658936 | NPI | - | NPPES |
| 002006261K | Other | HUMANA | |
| 1982658936 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 42192 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| 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 |
|---|---|
| Dr Paola A Palma Sisto, MD 2575 E Evergreen Drive, Appleton, WI 54913-8904 Ph: (920) 969-5353 | Dr Paola A Palma Sisto, MD 2575 E Evergreen Drive, Appleton, WI 54913-8904 Ph: (920) 969-5353 |
Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201 | |
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 | |
Elizabeth E Ermatinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 Fax: 920-954-2554 | |
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670 | |
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 |