Eric M Dorn, MD | |
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | |
(414) 434-0461 | |
Not Available |
Full Name | Eric M Dorn |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 10945 N Port Washington Rd Ste 201, Mequon, 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 |
---|---|---|---|
1033192562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 42422 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Entity Name | Wisconsin Radiology Specialists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568446003 PECOS PAC ID: 2961314091 Enrollment ID: O20031105000585 |
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 |
Entity Name | Premier Radiology Wisconsin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200211002818 |
Entity Name | Precision Radiology - Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230201002800 |
Mailing Address | Practice Location Address |
---|---|
Eric M Dorn, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: () - | Eric M Dorn, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (414) 434-0461 |
Timothy L Workman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
John Tomashek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Dr. Marc A Burrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Cynthia Rice, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Djerrick Cu Tan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Erica Young Berg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 |