Adel Khdour, MD | |
5333 Douglas Ave, Racine, WI 53402-2032 | |
(262) 752-2100 | |
(262) 752-2122 |
Full Name | Adel Khdour |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 5333 Douglas Ave, Racine, 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 |
---|---|---|---|
1083806384 | NPI | - | NPPES |
100251357 | Medicaid | WI | |
000000531548 | Other | IN | ANTHEM PROVIDER NUMBER |
000001014115 | Other | IN | ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653 |
200876650 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 81805 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 036118811 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01064330A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
Mailing Address | Practice Location Address |
---|---|
Adel Khdour, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Adel Khdour, MD 5333 Douglas Ave, Racine, WI 53402-2032 Ph: (262) 752-2100 |
Dr. David C Zablotney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5333 Douglas Ave, Racine, WI 53402 Phone: 262-752-2100 Fax: 262-752-2122 | |
Camille A. Paquette-schulgit, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 | |
Jennifer J. Brittig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2408 4 Mile Rd, Racine, WI 53402 Phone: 262-687-5995 | |
Manmeet K Bains, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring Street, Racine, WI 53405 Phone: 262-687-8173 Fax: 262-687-8062 | |
Mark E Decheck, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3805b Spring St, Suite 250, Racine, WI 53405 Phone: 262-634-6679 Fax: 262-634-7935 | |
Muhammad Erfan Ahmad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 Fax: 262-687-8797 |