Erik Riley Jeanes, DO | |
1475 W Grand Ave, Port Washington, WI 53074-2074 | |
(262) 268-5100 | |
Not Available |
Full Name | Erik Riley Jeanes |
---|---|
Gender | Male |
Speciality | Endocrinology |
Experience | 7 Years |
Location | 1475 W Grand Ave, Port Washington, 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 |
---|---|---|---|
1013440445 | NPI | - | NPPES |
100102092 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 72742 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Sheboygan Memorial Medical Ctr | Sheboygan, 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 |
---|---|
Erik Riley Jeanes, DO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Erik Riley Jeanes, DO 1475 W Grand Ave, Port Washington, WI 53074-2074 Ph: (262) 268-5100 |
Kenneth F. Jensen Jr., M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Mark S Bostwick, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Douglas B Mcmanus, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 |