Dr Dmitry K Pasikhov, MD | |
146 E Geneva Square, Lake Geneva, WI 53147 | |
(262) 249-5000 | |
(262) 249-7142 |
Full Name | Dr Dmitry K Pasikhov |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 27 Years |
Location | 146 E Geneva Square, Lake Geneva, 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 |
---|---|---|---|
1780791012 | NPI | - | NPPES |
34192400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 36100851 (Illinois) | Secondary |
208600000X | Surgery | 44347 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, 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 Dmitry K Pasikhov, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 321-2255 | Dr Dmitry K Pasikhov, MD 146 E Geneva Square, Lake Geneva, WI 53147 Ph: (262) 249-5000 |
James J Greenberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Dr. Juanilito N Seldera, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 |