Dr Ami Prag, MD | |
5900 S Lake Drive, #100, Cudahy, WI 53110 | |
(414) 489-4190 | |
(414) 489-4015 |
Full Name | Dr Ami Prag |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5900 S Lake Drive, Cudahy, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386722817 | NPI | - | NPPES |
34578400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46478 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | Kenosha Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Ami Prag, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Ami Prag, MD 5900 S Lake Drive, #100, Cudahy, WI 53110 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. 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 |