Dr Shelley K Watters, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-1000 | |
Not Available |
Full Name | Dr Shelley K Watters |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 34 Years |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407963457 | NPI | - | NPPES |
31931600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0201X | Internal Medicine - Allergy & Immunology | 3394 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
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 | Aurora Advanced Healthcare Inc |
---|---|
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 Shelley K Watters, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Shelley K Watters, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Bijan Nezami, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Kevin L Eggleston, M.D. Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Hung Nhat Pham, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Shubhi Sehgal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Pravin Gupta, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 515-471-9320 |