Kevin Rogacki, MD | |
6811 118th Ave, Kenosha, WI 53142-8420 | |
(262) 857-5700 | |
(262) 857-1109 |
Full Name | Kevin Rogacki |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 6811 118th Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093235673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.070719 (Illinois) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 77002 (Wisconsin) | Primary |
Entity Name | Radiation Oncology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154754 PECOS PAC ID: 7618924622 Enrollment ID: O20050401000480 |
Mailing Address | Practice Location Address |
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Kevin Rogacki, MD 11516 N Port Washington Rd Ste 107, Mequon, WI 53092-3478 Ph: (262) 241-5040 | Kevin Rogacki, MD 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5700 |
Lawrence Rufer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Mohsin Yunus Ghadiali, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 414-290-6720 Fax: 414-290-6755 | |
Peter R Hulick, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4623 75th St # 338, Kenosha, WI 53142 Phone: 617-312-9747 | |
Dr. Joshua Knute Elson, MD, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 6811 118th Ave, Kenosha, WI 53142 Phone: 262-857-5750 | |
Dr. Kevin A Khater, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-577-8206 Fax: 262-577-8587 | |
Steven D Huffman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5735 |