Edom Kidane, MD | |
3237 S 16th St, Milwaukee, WI 53215 | |
(414) 389-4845 | |
Not Available |
Full Name | Edom Kidane |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 14 Years |
Location | 3237 S 16th St, Milwaukee, 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 |
---|---|---|---|
1366826760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 67091 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Ascension St Francis Hospital | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Edom Kidane, MD 3237 S 16th St, Milwaukee, WI 53215-4526 Ph: (414) 389-4845 | Edom Kidane, MD 3237 S 16th St, Milwaukee, WI 53215 Ph: (414) 389-4845 |
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