Lauren Heaberlin, MD | |
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
(414) 325-5244 | |
Not Available |
Full Name | Lauren Heaberlin |
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Gender | Female |
Speciality | Pediatrics |
Location | 6901 W Edgerton Ave, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033503958 | NPI | - | NPPES |
100163447 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125-066722 (Illinois) | Secondary |
208000000X | Pediatrics | 036145519 (Illinois) | Secondary |
208000000X | Pediatrics | 75000 (Wisconsin) | Primary |
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 | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
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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 |
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Lauren Heaberlin, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Lauren Heaberlin, MD 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244 |
Jacquelyn C Kuzminski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Dr. Neelofar Nabi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Kevin Glatt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Robert E. Brueggeman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220 Phone: 414-282-7444 Fax: 414-282-8221 | |
Dr. Anoop Mohamed Iqbal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 | |
Zahra Nouri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6400 |