Dr Samuel H Idarraga, MD | |
2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 | |
(414) 479-1800 | |
Not Available |
Full Name | Dr Samuel H Idarraga |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 2645 N Mayfair Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700850070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33511-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allegiance Internal Medicine Specialists, Sc | 7517156433 | 2 |
Entity Name | Allegiance Internal Medicine Specialists, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699808196 PECOS PAC ID: 7517156433 Enrollment ID: O20110107000674 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel H Idarraga, MD 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 Ph: (414) 479-1800 | Dr Samuel H Idarraga, MD 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 Ph: (414) 479-1800 |
Geetha Ganesan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Haroon Zubair, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
David A. Carron, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Dr. Kavita Sharma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Phone: 414-615-5900 Fax: 414-615-5927 | |
Robert Michael Molloy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Ankur N Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. James T Kwiatt, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0500 Fax: 414-454-0971 |