Patricia Jane Ellis, PHD | |
845 Parkside St, Ripon, WI 54971-8505 | |
(920) 926-4200 | |
(920) 926-8933 |
Full Name | Patricia Jane Ellis |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 845 Parkside St, Ripon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346414059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3215-57 (Wisconsin) | Primary |
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 | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Patricia Jane Ellis, PHD Ssm Health Fdl Regional Clinic, 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (920) 926-8343 | Patricia Jane Ellis, PHD 845 Parkside St, Ripon, WI 54971-8505 Ph: (920) 926-4200 |
Karin Suesser, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1242 W Fond Du Lac St, Ripon, WI 54971 Phone: 920-745-4700 | |
Dr. Joe Warren Hatcher, Psychologist Medicare: Medicare Enrolled Practice Location: 960 Thomas St, Ripon, WI 54971 Phone: 920-748-8334 Fax: 920-748-7243 |