Brett Keith Fulleylove-krause, MD | |
252 Mchenry St, Burlington, WI 53105-1828 | |
(262) 767-6000 | |
Not Available |
Full Name | Brett Keith Fulleylove-krause |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 252 Mchenry St, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922637172 | NPI | - | NPPES |
100247019 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 81485 (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 |
Mailing Address | Practice Location Address |
---|---|
Brett Keith Fulleylove-krause, MD W2643 Saint Charles Rd, Chilton, WI 53014-9688 Ph: (920) 377-1380 | Brett Keith Fulleylove-krause, MD 252 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-6000 |
Dr. Richard F Wagner, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6100 | |
Dr. Erin Grinhaug, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6100 | |
Dr. Charles R Leadholm, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6100 Fax: 262-767-6098 | |
Dr. John W Linstroth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 | |
Robert Garretto, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 | |
Dr. Julie A Klein, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-2600 | |
Matthew A Nerland, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6100 |