Mary Ellen Sabourin (NPI# 1083670277, PAC ID# 6507888153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083670277 |
| PAC ID by PECOS | 6507888153 |
| Professional Enrollment ID | I20051222000481 |
| Full Name | Mary Ellen Sabourin |
| Organization Legal Name | HO-CHUNK NATION |
| Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Phone Number | 6083551240 |
| Gender | F |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496709867 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520057 | SSM HEALTH ST CLARE HOSPITAL - BARABOO |
| 520083 | SSM HEALTH ST MARY'S HOSPITAL - MADISON |
| Address | Phone | Organization |
|---|---|---|
| S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 6083551240 | HO-CHUNK NATION |
| 1310 Broadway, Wisconsin Dells, WI 53965-1358 | 6082531171 | DEAN HEALTH SYSTEMS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 82% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 64% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 85% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 4% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 28% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 97% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | HO-CHUNK NATION |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil F Cox | Family Medicine | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Lori M Haun | Optometry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kyla N Ripp | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Jessica Elizabeth Jennings | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Rachel M Lundberg | Optometry | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Thomas E Zirkel | Podiatry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Cari L Ritter | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Sue M Christopherson | Nurse Practitioner | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Christine R Seguin | Nurse Practitioner | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Bethany B Schilling | Nurse Practitioner | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Street Address |
S2845 WHITE EAGLE RD |
| City | BARABOO |
| State | WI |
| Zip | 53913-9064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori M Haun | Optometry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kyla N Ripp | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Jessica Elizabeth Jennings | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Thomas E Zirkel | Podiatry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Cari L Ritter | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Eric D Hamburg | Internal Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Amy J Delong | Family Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kiana Li Beaudin | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Chandra S Reddy | Internal Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela J Thompson | Chiropractic | 157 Linn St, Baraboo, WI 53913-1071 | |
| Jay C Taylor | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Andrew J Gudenschwager | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Jason C Theobald | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Ronald J Burkhalter | Chiropractic | Burkhalter Chiropractic S C | 920 8th Ave, Baraboo, WI 53913-1247 |
| Melanie A Arsenault-burkhalter | Chiropractic | Burkhalter Chiropractic S C | 920 8th Ave, Baraboo, WI 53913-1247 |
| Violet Margaret Laukant | Nurse Practitioner | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Emily J Parker | Optometry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Borys I Kusyk | Podiatry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Theresa L Frith | Optometry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Find all physicians in zip 53913 | |||
| City | BARABOO |
| Zip Code | 53913 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BARABOO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Ellen Sabourin.
| 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.