Jeremy M Groth, MD | |
975 Port Washington Rd, Grafton, WI 53024-9204 | |
(262) 329-1000 | |
(262) 329-1001 |
Full Name | Jeremy M Groth |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 10 Years |
Location | 975 Port Washington Rd, Grafton, 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 |
---|---|---|---|
1205254067 | NPI | - | NPPES |
100048498 | Medicaid | WI | |
1205254067 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 64690 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Grafton | Grafton, 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 |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Jeremy M Groth, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Jeremy M Groth, MD 975 Port Washington Rd, Grafton, WI 53024-9204 Ph: (262) 329-1000 |
Taylor L Gatlin, Anesthesiology Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Man Dick Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2135 Fax: 262-329-3151 | |
Dr. Ali A Sadeghi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 414-219-2000 | |
Dr. Robert J Schlosser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Dr. Timothy Erik Gundlach, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2135 Fax: 262-329-3151 | |
Joseph Doherty, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 |