Dr Fernando T Itable, MD | |
2745 W Layton Ave, Suite 3201, Milwaukee, WI 53221-2651 | |
(414) 281-0050 | |
(414) 281-0773 |
Full Name | Dr Fernando T Itable |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 2745 W Layton Ave, Milwaukee, 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 |
---|---|---|---|
1871586560 | NPI | - | NPPES |
32260500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35585 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Francis Hospital | Milwaukee, WI | Hospital |
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Physicians Of Wisconsin Llc | 3274842034 | 30 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Independent Physicians Of Wisconsin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
Mailing Address | Practice Location Address |
---|---|
Dr Fernando T Itable, MD Po Box 689711, Milwaukee, WI 53268-9711 Ph: (414) 456-3100 | Dr Fernando T Itable, MD 2745 W Layton Ave, Suite 3201, Milwaukee, WI 53221-2651 Ph: (414) 281-0050 |
Julia Bonner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Soryal A Soryal, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 | |
Aboud Affi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233 Phone: 414-291-3100 |