Alexandra Marie Petrie, | |
8905 W Lincoln Ave, West Allis, WI 53227-2468 | |
(414) 328-8650 | |
Not Available |
Full Name | Alexandra Marie Petrie |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 8905 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407317456 | NPI | - | NPPES |
100146051 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 74485 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aurora Advanced Healthcare Inc |
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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 |
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Alexandra Marie Petrie, Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 328-8650 | Alexandra Marie Petrie, 8905 W Lincoln Ave, West Allis, WI 53227-2468 Ph: (414) 328-8650 |
Aida Shanti, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-329-4300 | |
Karen E. Dobbs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Stacy Michelle Syrcle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Scott A Kamelle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, West Allis, WI 53227 Phone: 414-329-5651 | |
Roa Qato, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 | |
Lisa B. Lloyd, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Amarjit S. Jaglan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 |