Cory Ryan Dubose, DO | |
2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | |
(414) 649-6000 | |
Not Available |
Full Name | Cory Ryan Dubose |
---|---|
Gender | Male |
Speciality | Undersea And Hyperbaric Medicine |
Experience | 11 Years |
Location | 2900 W Oklahoma Ave, 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 |
---|---|---|---|
1811356736 | NPI | - | NPPES |
100055842 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 67295 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
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 |
---|---|
Cory Ryan Dubose, DO 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 Ph: (414) 385-4262 | Cory Ryan Dubose, DO 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 649-6000 |
Dr. John P Simanonok, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215 Phone: 414-649-1292 | |
Dr. Jane M. Kotchen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8701 W Watertown Plank Rd, Department Of Population Health Clinic, Milwaukee, WI 53226 Phone: 414-955-8201 Fax: 414-955-6554 | |
Laurie Beth Gesell, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Dr. Michael William Lischak, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4111 W Mitchell St, Milwaukee, WI 53215 Phone: 414-385-8800 | |
Maureen P. Lavin, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 N Milwaukee St, Milwaukee, WI 53202 Phone: 615-778-4066 Fax: 615-778-9114 | |
Dr. Lori L Mcallister, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Dr. Peter Schnapp, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8923 W Brown Deer Rd, Milwaukee, WI 53224 Phone: 414-355-4300 |