Dr Ahmed Mohsin Ibn-mahfoudh, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-1000 | |
Not Available |
Full Name | Dr Ahmed Mohsin Ibn-mahfoudh |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 29 Years |
Location | 36500 Aurora Dr, Summit, 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 |
---|---|---|---|
1457320970 | NPI | - | NPPES |
100079429 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 69542 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | 200100893 (North Carolina) | Secondary |
208M00000X | Hospitalist | 69542 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
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 | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
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 Ahmed Mohsin Ibn-mahfoudh, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Dr Ahmed Mohsin Ibn-mahfoudh, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Anthony J Wampole, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Varun Mehta, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |