Jordan Alexander Kapke, MD | |
10945 N Port Washington Rd Ste 201, Thiensville, WI 53092-5078 | |
(262) 292-3151 | |
Not Available |
Full Name | Jordan Alexander Kapke |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 8 Years |
Location | 10945 N Port Washington Rd Ste 201, Thiensville, 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 |
---|---|---|---|
1972965267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 125.068287 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 125068287 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
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 |
---|---|---|
Wisconsin Radiology Specialists Sc | 2961314091 | 56 |
Precision Radiology - Illinois Ltd | 6305218298 | 59 |
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 | 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 |
---|---|
Jordan Alexander Kapke, MD Po Box 713121, Chicago, IL 60677-0321 Ph: (262) 292-3151 | Jordan Alexander Kapke, MD 10945 N Port Washington Rd Ste 201, Thiensville, WI 53092-5078 Ph: (262) 292-3151 |
Eric Wideburg, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Thiensville, WI 53092 Phone: 262-292-3151 Fax: 262-643-4707 | |
Kaleen D Puccetti, Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd, Thiensville, WI 53092 Phone: 262-292-3151 |