| Mary Ellen Sabourin, MD | |
|
1310 Broadway, Wisconsin Dells, WI 53965-1358 | |
| (608) 253-1171 | |
| (608) 253-8012 |
| Full Name | Mary Ellen Sabourin |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 1310 Broadway, Wisconsin Dells, 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 |
|---|---|---|---|
| 1083670277 | NPI | - | NPPES |
| 1083670277 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32342-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ho Chunk Nation | 5496709867 | 23 |
| Entity Name | Ho Chunk Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Sabourin, MD 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 | Mary Ellen Sabourin, MD 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 |
Daniel John Bodnar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Richard K Westphal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Maureen A Murphy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Sharilyn B Munneke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Dr. Carlos Rodolfo Alfaraz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Sarah A Horowitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 |