Dr Julie A Klein, MD | |
248 Mchenry St, Burlington, WI 53105-1828 | |
(262) 767-2600 | |
Not Available |
Full Name | Dr Julie A Klein |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 248 Mchenry St, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376625327 | NPI | - | NPPES |
877970 | Other | AZ | AHCCCS |
877970-01 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 32950 (Arizona) | Secondary |
208000000X | Pediatrics | 68641 (Wisconsin) | Primary |
Entity Name | Ies Arizona Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Julie A Klein, MD 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-2600 | Dr Julie A Klein, MD 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-2600 |
Dr. Humaira Achakzai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-787-8000 | |
Dr. Joseph D Graciosa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8259 Fax: 262-767-8212 | |
Violeta J Komotos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 |