Dr Philip M Detrana, MD | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
(920) 457-4461 | |
Not Available |
Full Name | Dr Philip M Detrana |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 38 Years |
Location | 2414 Kohler Memorial Dr, Sheboygan, 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 |
---|---|---|---|
1013992643 | NPI | - | NPPES |
32101500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 36416 (Wisconsin) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 36416 (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 |
---|---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Philip M Detrana, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 | Dr Philip M Detrana, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Gurminder Dhillon, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 816-404-0003 | |
Dr. Louie Coulis, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-9800 Fax: 920-458-9882 | |
Mr. Muhammad Rasheed Khan Orakzai, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Mr. Vinicius Klee Lopes, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Sree Ramya Punukollu, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Dr. Rachael Bree Hosein, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 |