Edward B Smith, MD | |
3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | |
(414) 771-7900 | |
(414) 607-6336 |
Full Name | Edward B Smith |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 43 Years |
Location | 3289 N Mayfair Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255365565 | NPI | - | NPPES |
31706400 | Medicaid | WI | |
P00465794 | Other | WI | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25439 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Allis Memorial Hospital | West allis, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
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 |
---|---|
Edward B Smith, MD 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 Ph: (414) 771-7900 | Edward B Smith, MD 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 Ph: (414) 771-7900 |
Kun-tai Hsu, MD Surgery Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-4263 Fax: 414-955-6286 | |
Dr. James Allen Vanheest, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226 Phone: 414-258-5130 Fax: 414-258-5150 | |
Dr. Jan Riecan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 North Mayfair Road, Suite 410, Wauwatosa, WI 53226 Phone: 414-774-1919 | |
Dr. James Patrick Ketterhagen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 204 N 86th St, Wauwatosa, WI 53226 Phone: 561-319-2133 Fax: 561-634-2015 | |
Dr. Hanadi Bu-ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, 3rd Floor, Wauwatosa, WI 53226 Phone: 414-256-1920 Fax: 414-256-1921 | |
Nelson Agustin Rodriguez Unda, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-1000 Fax: 414-955-0183 |