Dr Ahmad S Khraisat, MD | |
2000 E Layton Ave, Saint Francis, WI 53235-6053 | |
(414) 744-6589 | |
(414) 747-8848 |
Full Name | Dr Ahmad S Khraisat |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 28 Years |
Location | 2000 E Layton Ave, Saint Francis, 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 |
---|---|---|---|
1750375143 | NPI | - | NPPES |
1750375143 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | 43201 (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 Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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 |
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 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
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 |
---|---|
Dr Ahmad S Khraisat, MD 100 15th Ave, #180, South Milwaukee, WI 53172-1160 Ph: (414) 764-3241 | Dr Ahmad S Khraisat, MD 2000 E Layton Ave, Saint Francis, WI 53235-6053 Ph: (414) 744-6589 |
Richard M. Hayes, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, Saint Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |