Dr Jeffrey D Gentile, MD | |
120 Chapman Farm Boulevard, Mukwonago, WI 53149 | |
(262) 363-3894 | |
Not Available |
Full Name | Dr Jeffrey D Gentile |
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Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 120 Chapman Farm Boulevard, Mukwonago, 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 |
---|---|---|---|
1699861021 | NPI | - | NPPES |
34910300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 48466020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 | Aurora Medical Group, Inc. |
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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 Jeffrey D Gentile, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Dr Jeffrey D Gentile, MD 120 Chapman Farm Boulevard, Mukwonago, WI 53149 Ph: (262) 363-3894 |
Danika Brianne Johnson, Family Medicine Medicare: Medicare Enrolled Practice Location: 120 Chapman Farms Blvd, Mukwonago, WI 53149 Phone: 262-363-6160 | |
Steven C. Meisner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Avenue, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Anthony Norelli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Prohealth Care Medical Centers-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Steven C. Fehr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Steven G Hammer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 W. Maple Ave, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Jill C. Larson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-928-1949 | |
Alison Wittchow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave, Mukwonago, WI 53149 Phone: 262-928-1900 |