| Sara L Grimes, FNP | |
|
2977 County Road Cx, Portage, WI 53901-9271 | |
| (608) 745-3399 | |
| Not Available |
| Full Name | Sara L Grimes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2977 County Road Cx, Portage, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053051318 | NPI | - | NPPES |
| 71012441A | Other | IN | SBON LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71012441A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 16345 (Wisconsin) | Primary |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara L Grimes, FNP 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Sara L Grimes, FNP 2977 County Road Cx, Portage, WI 53901-9271 Ph: (608) 745-3399 |
Andrea J Langan, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 | |
Kathleen L Ludwikowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Dewitt St, Portage, WI 53901 Phone: 608-297-9680 Fax: 608-745-1757 | |
Tsering Lhamo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Stephanie Jo Holt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Lindsay Kay Schehr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Sarah Jane Halfmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 087-424-1316 |