Dr Mauricio E Palencia, MD | |
2600 Kiley Way, Plymouth, WI 53073-5020 | |
(920) 449-7000 | |
Not Available |
Full Name | Dr Mauricio E Palencia |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 2600 Kiley Way, Plymouth, 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 |
---|---|---|---|
1770558264 | NPI | - | NPPES |
34111200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43429 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 43429 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aamg Reach Pllc | 5597133264 | 61 |
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 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Memorial Hospital Of Boscobel |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Entity Name | Aamg Reach Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609502707 PECOS PAC ID: 5597133264 Enrollment ID: O20221216002458 |
Mailing Address | Practice Location Address |
---|---|
Dr Mauricio E Palencia, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Mauricio E Palencia, MD 2600 Kiley Way, Plymouth, WI 53073-5020 Ph: (920) 449-7000 |
William J Wagner, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: N7426 County Road J, Plymouth, WI 53073 Phone: 920-876-2241 | |
Betty Ann Van Leuven, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 | |
Dr. Andrew Bradford Ingraham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Kiley Way, Plymouth, WI 53073 Phone: 920-449-7000 |