Dr Phillip Douglas Martinez-knouse, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-8800 | |
Not Available |
Full Name | Dr Phillip Douglas Martinez-knouse |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689036923 | NPI | - | NPPES |
100204204 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 036.149823 (Illinois) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 22233-875 (Wisconsin) | Primary |
Entity Name | Aurora Health Care Metro Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Dr Phillip Douglas Martinez-knouse, MD Po Box 735031, Chicago, IL 60673-5031 Ph: (262) 434-8800 | Dr Phillip Douglas Martinez-knouse, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-8800 |
Bijan Nezami, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Kevin L Eggleston, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-4711 Fax: 262-434-4041 | |
Rebecca M Striet, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Department Of Wound Care/hyperbaric Medicine 3rd Floor, Summit, WI 53066 Phone: 262-434-5000 | |
Vijay Johnson, M.D Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Hung Nhat Pham, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Shubhi Sehgal, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Pravin Gupta, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 515-471-9320 |