Dr Diana A David, MD | |
10400 75th St, Kenosha, WI 53142 | |
(262) 948-6790 | |
(262) 948-7326 |
Full Name | Dr Diana A David |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 10400 75th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649386574 | NPI | - | NPPES |
34113200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36-103469 (Illinois) | Secondary |
207R00000X | Internal Medicine | 43464 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Diana A David, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Diana A David, MD 10400 75th St, Kenosha, WI 53142 Ph: (262) 948-6790 |
Hanna Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715 | |
Leilane U Sta Romana, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751 | |
Raymond W Knight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Rodrigo Buencamino Mata Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Zebi Fatima, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |