Katherine Theresa Pellino, MD | |
4202 W Oakwood Park Ct, Franklin, WI 53132-9118 | |
(414) 423-5250 | |
Not Available |
Full Name | Katherine Theresa Pellino |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 4202 W Oakwood Park Ct, Franklin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275094799 | NPI | - | NPPES |
100152421 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 7462420 (Wisconsin) | Primary |
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 |
---|---|
Katherine Theresa Pellino, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 423-5250 | Katherine Theresa Pellino, MD 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 Ph: (414) 423-5250 |
Mrs. Tammy L Ertl, NP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7400 W Rawson Ave, Suite 120, Franklin, WI 53132 Phone: 414-409-1000 Fax: 414-409-1019 | |
Dr. Lauren M Tran, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9349 Fax: 414-529-9348 | |
Kathleen P Penzenstadler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4202 W Oakwood Park Ct Ste 120, Franklin, WI 53132 Phone: 414-855-2800 | |
Dr. Timothy D Heitman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Loomis Rd, #104, Franklin, WI 53132 Phone: 414-529-9349 Fax: 414-529-9348 | |
Mrs. Lauren J Moore, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7400 W Rawson Ave, Suite 120, Franklin, WI 53132 Phone: 414-409-1000 Fax: 414-409-1019 | |
Daniel D Gilman, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 S 27th St, Franklin, WI 53132 Phone: 414-325-4910 Fax: 414-325-4911 |