| Ms Ellen L Suelflow, CRNA | |
|
975 Port Washington Rd, Grafton, WI 53024-9201 | |
| (262) 329-1000 | |
| Not Available |
| Full Name | Ms Ellen L Suelflow |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 975 Port Washington Rd, Grafton, 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 |
|---|---|---|---|
| 1891802997 | NPI | - | NPPES |
| 44339300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 116024-030 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2568-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesiology Associates Of Sheboygan, Ltd. | 1355330853 | 9 |
| Entity Name | Anesthesiology Associates Of Sheboygan, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518914357 PECOS PAC ID: 1355330853 Enrollment ID: O20040510001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ellen L Suelflow, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Ms Ellen L Suelflow, CRNA 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
Tonia T Whalen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Rebekka M Holland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |