Abdulrehman Siddiqui, MB BCH BAO | |
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
(414) 325-5244 | |
Not Available |
Full Name | Abdulrehman Siddiqui |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 6901 W Edgerton Ave, Greenfield, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003278268 | NPI | - | NPPES |
100075227 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 68299-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Health Care Metro Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Abdulrehman Siddiqui, MB BCH BAO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2338 | Abdulrehman Siddiqui, MB BCH BAO 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244 |
Dr. Kostandinos Tsoulfas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd, #300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Dr. Leart Neziri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Rita E Schulz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Kathryn M Kiyono, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Yuriy Zamota, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Venkata K Thota, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 |