Sarah Anderson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI 1902509011 · NPPES record last updated Aug 6, 2023

Key facts

NPI
1902509011
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
999 N 92ND St Ste 730
Milwaukee, WI 53226-4875
Phone
(414) 266-6800
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Pediatric Medicine
Education
Medical College of Wisconsin, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260608000539 WI Practitioner - Pediatric Medicine 4789031162

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Medical College of Wisconsin Affiliated Hospitals Student in an Organized Health Care Education/Training Program Past
since Apr 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

999 N 92ND St Ste 730
Milwaukee, WI 53226-4875

Mailing address

999 N 92ND St Ste 730
Milwaukee, WI 53226-4875

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.