Watertown Family Practice Associates S.c. - Medicare Primary Care in Watertown, WI

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Watertown Family Practice Associates S.c. is a medicare enrolled primary clinic (Family Medicine) in Watertown, Wisconsin. The current practice location for Watertown Family Practice Associates S.c. is 127 Hospital Dr, Watertown, Wisconsin. For appointments, you can reach them via phone at (920) 261-8500. The mailing address for Watertown Family Practice Associates S.c. is 127 Hospital Dr, Watertown, Wisconsin and phone number is () -.

Watertown Family Practice Associates S.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811064942. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 261-8500.

Contact Information

Watertown Family Practice Associates S.c.
127 Hospital Dr
Watertown
WI 53098-3303
(920) 261-8500
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWatertown Family Practice Associates S.c.
SpecialityFamily Medicine
Location127 Hospital Dr, Watertown, Wisconsin
Authorized Official Name and PositionMichael E Sullivan (CLINIC PRESIDENT)
Authorized Official Contact9202618500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Watertown Family Practice Associates S.c.
127 Hospital Dr
Watertown
WI 53098-3303

Ph: () -		Watertown Family Practice Associates S.c.
127 Hospital Dr
Watertown
WI 53098-3303

Ph: (920) 261-8500

NPI Details:

NPI Number1811064942
Provider Enumeration Date11/30/2006
Last Update Date04/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4183608037
Medicare Enrollment IDO20040617000150

Medical Identifiers

Medical identifiers for Watertown Family Practice Associates S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811064942NPI-NPPES
32687900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Watertown Family Practice Associates S.c. acts as a billing entity for following providers:
Provider NameMichael E Sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093883142
PECOS PAC ID: 1153308887
Enrollment ID: I20040701000385
Provider NameJohn R Basarich
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1033178512
PECOS PAC ID: 3779542352
Enrollment ID: I20041008000306
Provider NameDanielle G Tonelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083806814
PECOS PAC ID: 5890889026
Enrollment ID: I20070919000665
Provider NameRobert Legrow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013908771
PECOS PAC ID: 6406818657
Enrollment ID: I20090112000073
Provider NameAndrea M Cantwell Durand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396921375
PECOS PAC ID: 3678626892
Enrollment ID: I20090805000088
Provider NameBruce J Cochrane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922176064
PECOS PAC ID: 4789668633
Enrollment ID: I20110105001219
Provider NameLeslie M Golden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336401736
PECOS PAC ID: 9739344094
Enrollment ID: I20150805006493
Provider NameJessica A Angove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508234188
PECOS PAC ID: 6901115955
Enrollment ID: I20151014002245
Provider NameMelodie J De Fouw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881164481
PECOS PAC ID: 3779824107
Enrollment ID: I20190411000551
Provider NameHolly A Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124660592
PECOS PAC ID: 7214369735
Enrollment ID: I20191121000030
Provider NameCarmen D Papenfuss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699300137
PECOS PAC ID: 2163852989
Enrollment ID: I20200420000606
Provider NameAshley Ann Smaglick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225770472
PECOS PAC ID: 0446647135
Enrollment ID: I20220427002540
Provider NameHeidi Pauli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912629908
PECOS PAC ID: 9739555889
Enrollment ID: I20221014002076
Provider NameAnna Christa Stamas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376172007
PECOS PAC ID: 1850712647
Enrollment ID: I20230720003681

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.