| Kathryn Therese Sullivan Dillie, MD, PHD | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-5581 | |
| Not Available |
| Full Name | Kathryn Therese Sullivan Dillie |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 620 W Brown St, Waupun, 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 |
|---|---|---|---|
| 1548426141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 53697-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Ermed, Sc | 5092608554 | 42 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Ermed, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023076296 PECOS PAC ID: 5092608554 Enrollment ID: O20040206000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Therese Sullivan Dillie, MD, PHD 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 | Kathryn Therese Sullivan Dillie, MD, PHD 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 |
Dr. Aaron B. Hoffnung, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 | |
Mrs. Eileen Therese Reilly, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 | |
Gregory L Schulz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 |