Mr Nathan Boren, | |
3811 Spring St # 201, Mount Pleasant, WI 53405-1667 | |
(773) 975-1600 | |
Not Available |
Full Name | Mr Nathan Boren |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 11 Years |
Location | 3811 Spring St # 201, Mount Pleasant, 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 |
---|---|---|---|
1467871855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125066041 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Mr Nathan Boren, 3811 Spring St # 201, Mount Pleasant, WI 53405-1667 Ph: () - | Mr Nathan Boren, 3811 Spring St # 201, Mount Pleasant, WI 53405-1667 Ph: (773) 975-1600 |
James M Waltenberger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Lindsey Nicole Clark, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St # 201, Mount Pleasant, WI 53405 Phone: 262-687-5850 | |
Steven J. Ryder, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 |