Dr Andrew Bradford Ingraham, MD | |
2600 Kiley Way, Plymouth, WI 53073-5020 | |
(920) 449-7000 | |
Not Available |
Full Name | Dr Andrew Bradford Ingraham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 2600 Kiley Way, Plymouth, 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 |
---|---|---|---|
1841642642 | NPI | - | NPPES |
100100690 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD-45463 (Iowa) | Secondary |
207Q00000X | Family Medicine | R-10753 (Iowa) | Secondary |
207Q00000X | Family Medicine | 73536 (Wisconsin) | Primary |
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 |
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 | St Clare Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
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 Andrew Bradford Ingraham, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233 | Dr Andrew Bradford Ingraham, MD 2600 Kiley Way, Plymouth, WI 53073-5020 Ph: (920) 449-7000 |
Dr. Jennifer Ann-gabrys Rench, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-893-4322 Fax: 920-893-9506 | |
Mr. Michael Roy Lunde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2636 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-4010 | |
Dr. Dean M Olson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Reed St, Plymouth, WI 53073 Phone: 920-893-1771 | |
Megan M Butler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-496-4700 | |
George S Schroeder, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-0526 Fax: 920-893-9409 | |
Dr. Matthew Edwin Leafblad, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 | |
Dr. Scott R Peschke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 |