| Travis J Sullivan, CRNA | |
|
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
| (414) 328-6000 | |
| Not Available |
| Full Name | Travis J Sullivan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 8901 W Lincoln Ave, West Allis, 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 |
|---|---|---|---|
| 1881950350 | NPI | - | NPPES |
| 100023698 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 160832-30 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5084 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ripon Medical Center | Ripon, WI | Hospital |
| 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 | Anesthesia Services Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750385597 PECOS PAC ID: 1658345228 Enrollment ID: O20040820000728 |
| Entity Name | Association Of Hospital Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
| Entity Name | Racine Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106 |
| Entity Name | Garner Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285030452 PECOS PAC ID: 0345564969 Enrollment ID: O20150130000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis J Sullivan, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 328-6000 | Travis J Sullivan, CRNA 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000 |
Thomas J Kavanaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8901 W. Lincoln Ave, Aurora West Allis Medical Center, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-328-8536 | |
Jessica Lynn Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 | |
Jacqueline J Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 | |
Michelle Ann Depa, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 Fax: 414-328-8158 | |
Emily M Nieman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Shelly Schneider Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Tara L Alauf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-283-6000 Fax: 414-649-1328 |