| Timothy J Sanner, | |
|
701 S Nicolet Rd, Appleton, WI 54914-8273 | |
| (414) 288-5688 | |
| Not Available |
| Full Name | Timothy J Sanner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 701 S Nicolet Rd, Appleton, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093309569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5468-23 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin, Inc | 0244142420 | 260 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Emergency Medicine Specialists SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Sanner, 701 S Nicolet Rd, Appleton, WI 54914-8273 Ph: Not Available | Timothy J Sanner, 701 S Nicolet Rd, Appleton, WI 54914-8273 Ph: (414) 288-5688 |
Rachel Rockweiler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 |
Hanna Rose Sippel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 Fax: 920-735-7618 |
Mrs. Katherine K Krause, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-738-6400 |
Kirsten D Pethan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 W Calumet St, Appleton, WI 54915 Phone: 920-967-4141 Fax: 833-972-1585 |
Anna L King, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414 |
Nicole Mae Mcintyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 247 S Nicolet Rd, Appleton, WI 54914 Phone: 888-938-3838 Fax: 888-919-1083 |
Jane L Jumes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd, Suite B, Appleton, WI 54911 Phone: 920-733-4443 |