Anwar D Jackson, MD | |
945 N 12th St, Milwaukee, WI 53233-1305 | |
(414) 219-2000 | |
Not Available |
Full Name | Anwar D Jackson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 10 Years |
Location | 945 N 12th St, Milwaukee, 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 |
---|---|---|---|
1689051666 | NPI | - | NPPES |
100174272 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 75541 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
Mailing Address | Practice Location Address |
---|---|
Anwar D Jackson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Anwar D Jackson, MD 945 N 12th St, Milwaukee, WI 53233-1305 Ph: (414) 219-2000 |
Sofia Gabrilovich, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6673 | |
Irina Kostova Dimitrova, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr, Milwaukee, WI 53211 Phone: 414-585-1949 | |
Dr. Dwight P Cruikshank, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Froedtert & Med College Clin - East, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Kristine R. Graettinger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6600 Fax: 414-805-6622 | |
Mrs. Helena M Coke, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 'none', Milwaukee, WI 53224 Phone: 414-760-2934 | |
Paul Ginkel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 930 W Historic Mitchell St, Milwaukee, WI 53204 Phone: 414-383-9526 Fax: 414-389-3881 | |
Colleen Anne Keane-mullooly, RNC,MS,WHNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 302 N Jackson St, Milwaukee, WI 53202 Phone: 608-347-2297 |