Dr Jesse Varney Degroat Jr, MD | |
1320 Wisconsin Ave, Racine, WI 53403-1978 | |
(262) 687-5630 | |
(262) 687-5657 |
Full Name | Dr Jesse Varney Degroat Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1320 Wisconsin Ave, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407823156 | NPI | - | NPPES |
3224200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44111-020 (Wisconsin) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse Varney Degroat Jr, MD 709 Sheridan Rd, Kenosha, WI 53140-1137 Ph: (262) 552-9137 | Dr Jesse Varney Degroat Jr, MD 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-5630 |
Dr. David C Zablotney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5333 Douglas Ave, Racine, WI 53402 Phone: 262-752-2100 Fax: 262-752-2122 | |
Camille A. Paquette-schulgit, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 | |
Jennifer J. Brittig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2408 4 Mile Rd, Racine, WI 53402 Phone: 262-687-5995 | |
Adel Khdour, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5333 Douglas Ave, Racine, WI 53402 Phone: 262-752-2100 Fax: 262-752-2122 | |
Manmeet K Bains, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring Street, Racine, WI 53405 Phone: 262-687-8173 Fax: 262-687-8062 | |
Mark E Decheck, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3805b Spring St, Suite 250, Racine, WI 53405 Phone: 262-634-6679 Fax: 262-634-7935 | |
Muhammad Erfan Ahmad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 Fax: 262-687-8797 |