| Sean F Ackerman, MD | |
|
1515 Park Ave, Columbus, WI 53925-2402 | |
| (920) 623-1200 | |
| Not Available |
| Full Name | Sean F Ackerman |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1515 Park Ave, Columbus, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548559305 | NPI | - | NPPES |
| 1548559305 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 65852-20 (Wisconsin) | Primary |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean F Ackerman, MD 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (608) 280-4647 | Sean F Ackerman, MD 1515 Park Ave, Columbus, WI 53925-2402 Ph: (920) 623-1200 |
Nicole Larsen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Carolyn Jean Reabe, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Dr. Benjamin Kannenberg, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-1200 |