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Sara R Hays

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kinnickinnic River Pkwy, Suite 777, Milwaukee, WI 53215-3669

PECOS Enrollment

This provider is enrolled in PECOS as SARA HAYS.

Based on the most recent information from CMS, provider Sara R Hays is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174833883
Provider Type
Individual
Full Name
Hays, Sara R
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/15/2010
Last Updated
10/16/2023

Contact Information

Practice Location

2801 W Kinnickinnic River Pkwy, Suite 777, Milwaukee, WI 53215-3669

(414) 649-3530

Unlisted Fax

Mailing Location

PO Box 735044, Chicago, IL 60673-5044

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4215 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100012721	Description Medicaid	Issuer Unlisted Wisconsin

Sara R Hays

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Keller, Mary Margaret

Whitley, Mariel C

Muzi, Mary Ann

Emmer, Maria De Valk

Conlin, Adam

Bergstrom, Barbara A

Ozzello, Allysa

Joppe, Ashley A

Mattes, Elizabeth

Blethen, Katrina E