Susan Lee (NPI# 1093957920, PAC ID# 0941261895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093957920 |
| PAC ID by PECOS | 0941261895 |
| Professional Enrollment ID | I20160602002082 |
| Full Name | Susan Lee |
| Organization Legal Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Address |
1507 Doctors Ct Watertown WI 53094-4101 |
| Phone Number | 9202614111 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022329408 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521309 | MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS |
| 520116 | WATERTOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 402 W Lake St, Friendship, WI 53934-0040 | 6083393331 | MOUNDVIEW MEMORIAL HOSPITAL AND CLINICS INC |
| 1507 Doctors Ct, Watertown, WI 53094-4101 | 9202614111 | WATERTOWN PHYSICIAN PRACTICES LLC |
| Organization Legal Name | WATERTOWN PHYSICIAN PRACTICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen E Box | Family Medicine | Watertown Physician Practices LLC | 344 S Western Ave, Juneau, WI 53039-1163 |
| Casey J Brown | Nurse Practitioner | Watertown Physician Practices LLC | W1046 Marietta Ave, Suite 230, Ixonia, WI 53036-9498 |
| Terry Lester Turke | Family Medicine | Watertown Physician Practices LLC | 132 Hospital Dr, Watertown, WI 53098-3304 |
| Jenifer A Siragusa | Internal Medicine | Watertown Physician Practices LLC | 540 Village Walk Ln J, Johnson Creek, WI 53038-9554 |
| Steven P Rhodes | Orthopedic Surgery | Watertown Physician Practices LLC | 111 Anna St, Waterloo, WI 53594-1184 |
| Danish S Siddiqui | Obstetrics/gynecology | Watertown Physician Practices LLC | 128 Hospital Dr, Watertown, WI 53098-3304 |
| Sarah J Barnett | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Michael A Grajewski | Family Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Sandra Kay Roof | Nurse Practitioner | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Moazam J Samdani | Internal Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Street Address |
1507 DOCTORS CT |
| City | WATERTOWN |
| State | WI |
| Zip | 53094-4101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah J Barnett | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Michael A Grajewski | Family Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Sandra Kay Roof | Nurse Practitioner | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Moazam J Samdani | Internal Medicine | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Kristin E Hanington Erickson | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Garrett William Fleming | General Surgery | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Matthew Robert Herald | Psychiatry | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Cheryl A Kolkovich | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Molly Anna Wheeler | Physician Assistant | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Lori L Unger | Nurse Practitioner | Watertown Physician Practices LLC | 1507 Doctors Ct, Watertown, WI 53094-4101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Fruendt | Chiropractic | Watertown Chiropractic Sc | 615 E Main St B, Watertown, WI 53094-3200 |
| Desiree Monik Herron | Optometry | Watertown Vision LLC | 1640 S Church St, Watertown, WI 53094-3405 |
| Leslie A Ofner | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Amy C Middleton | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Carol A Erdman | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| David A Byrne | Psychologist, Clinical | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Edward A Dehnert | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Teresa G Grimes | Physician Assistant | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Roger J Klein | Psychologist, Clinical | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Janet M Parker | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Find all physicians in zip 53094 | |||
| City | WATERTOWN |
| Zip Code | 53094 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WATERTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.