Luis Felipe Carrillo Polanco, MD | |
9200 W Wisconsin Ave, Milwaukee, WI 53226 | |
(414) 805-3666 | |
(414) 805-6980 |
Full Name | Luis Felipe Carrillo Polanco |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 15 Years |
Location | 9200 W Wisconsin Ave, Milwaukee, 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 |
---|---|---|---|
1952741621 | NPI | - | NPPES |
1952741621 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 63966 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Duke University Hospital | Durham, NC | Hospital |
Duke Health Raleigh Hospital | Raleigh, NC | Hospital |
Duke Regional Hospital | Durham, NC | Hospital |
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duke Health Integrated Practice Inc | 8325412737 | 2636 |
Entity Name | Private Diagnostic Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Luis Felipe Carrillo Polanco, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-3666 | Luis Felipe Carrillo Polanco, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226 Ph: (414) 805-3666 |
Dr. James Vaughan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8701 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-456-8296 | |
Dr. Elena V Roukhadze, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 Fax: 414-389-4187 | |
Dr. Timothy Greenwell, MD Pathology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666 Fax: 262-560-1579 | |
Waseem Anani, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 638 N 18th St, Milwaukee, WI 53233 Phone: 412-937-6358 | |
Dr. Neil L Drake, MD Pathology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Pathology, Milwaukee, WI 53226 Phone: 414-805-6966 Fax: 414-805-6980 | |
Dr. Zeenath Asma, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St, Milwaukee, WI 53215 Phone: 414-647-5633 | |
Amanda Leigh Wilson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Acl Laboratories, Milwaukee, WI 53215 Phone: 414-649-5831 Fax: 414-649-7850 |