| Jorge Marquez De Leon, MD | |
|
1100 Gateway Ct, West Bend, WI 53095-8539 | |
| (262) 335-8600 | |
| Not Available |
| Full Name | Jorge Marquez De Leon |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 27 Years |
| Location | 1100 Gateway Ct, West Bend, 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 |
|---|---|---|---|
| 1184671869 | NPI | - | NPPES |
| 1184671869 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 47555 (Wisconsin) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 48487 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Washington County | Hartford, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare Inc | 3375625833 | 928 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Marquez De Leon, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jorge Marquez De Leon, MD 1100 Gateway Ct, West Bend, WI 53095-8539 Ph: (262) 335-8600 |
Dr. Rajesh Kumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 W River Drive, West Bend, WI 53090 Phone: 262-338-2717 Fax: 262-338-9767 | |
Arun Vasudev Parikh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, Genesis Behavioral Services, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Chhaya Patel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 | |
Lawrence P Sullivan, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Denise Elizabeth Davis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 E. Washington Street, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Milo Gerald Durst, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 333 E. Washington Street, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 |