Mr Brad A Johnson, MD | |
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
(414) 421-8400 | |
Not Available |
Full Name | Mr Brad A Johnson |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 11 Years |
Location | 6901 W Edgerton Ave, Greenfield, 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 |
---|---|---|---|
1013250737 | NPI | - | NPPES |
1036645 | Medicaid | WA | |
100174759 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20554 (Wisconsin) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 20554 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Allis Memorial Hospital | West allis, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Mr Brad A Johnson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Brad A Johnson, MD 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 421-8400 |
Heidi J Harkins, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Minhaj U Husain, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 201, Greenfield, WI 53220 Phone: 414-281-4466 Fax: 414-365-3225 | |
Sarah K Hambrook, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Dr. Michael F Girolami, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Dr. Amjed Z Zidan, DO Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Vallikantha Nellaiappan, M.D Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 |