Dr Susan M Hagnell, MD | |
146 E Geneva Sq, Lake Geneva, WI 53147-9695 | |
(262) 249-5005 | |
(262) 249-7142 |
Full Name | Dr Susan M Hagnell |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 33 Years |
Location | 146 E Geneva Sq, Lake Geneva, 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 |
---|---|---|---|
1871672923 | NPI | - | NPPES |
34436900 | Medicaid | WI | |
036090050 2 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-090050 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | 46010 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
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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 Susan M Hagnell, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Dr Susan M Hagnell, MD 146 E Geneva Sq, Lake Geneva, WI 53147-9695 Ph: (262) 249-5005 |
Dr. Joy Zerrudo Seldera, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 146 E Geneva Square, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 | |
Aaron Staley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7143 | |
Andrea D Boeckman, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248 | |
Dr. Mary Elizabeth Anderson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 |