Dexter R Rebancos, MD | |
5900 S. Lake Drive, Cudahy, WI 53110-3171 | |
(414) 489-4190 | |
(414) 489-4015 |
Full Name | Dexter R Rebancos |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 5900 S. Lake Drive, Cudahy, 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 |
---|---|---|---|
1801974399 | NPI | - | NPPES |
32042700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33762-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora At Home | Wauwatosa, WI | Hospice |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
---|---|
Dexter R Rebancos, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dexter R Rebancos, MD 5900 S. Lake Drive, Cudahy, WI 53110-3171 Ph: (414) 489-4190 |
Nikki Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4580 S Nicholson Ave, Cudahy, WI 53110 Phone: 414-326-4800 Fax: 855-270-4751 | |
Mr. Shujahat Ali Chaudhry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4190 | |
Dr. Ami Prag, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 S Lake Drive, #100, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Dr. Christian John Sanvanson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-9000 | |
Rebecca L Scerpella, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Stephen C Lamberton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Drive, Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Mr. Timothy William Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4580 S Nicholson Ave, Cudahy, WI 53110 Phone: 414-326-4800 Fax: 855-270-4751 |