Patricia Ivonne Hago, MD | |
801 S 70th St, West Allis, WI 53214-3147 | |
(414) 773-6600 | |
(414) 773-6656 |
Full Name | Patricia Ivonne Hago |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 801 S 70th St, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770589202 | NPI | - | NPPES |
32606100 | Medicaid | WI | |
7590215 | Other | WI | CIGNA |
810127302 | Other | WI | PRIVATEHEALTHCARE SYSTEM |
7310019 | Other | WI | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40944 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Patricia Ivonne Hago, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 773-6600 | Patricia Ivonne Hago, MD 801 S 70th St, West Allis, WI 53214-3147 Ph: (414) 773-6600 |
William Nicholson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0300 Fax: 414-543-9601 | |
Michael D Hazelberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227 Phone: 414-255-0300 Fax: 414-543-9601 | |
Gregory Rachu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7220 W National Ave, West Allis, WI 53214 Phone: 414-257-8500 | |
Dr. Paul Gordon Malen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2323 S 109th St, #220, West Allis, WI 53227 Phone: 414-541-5222 Fax: 414-541-4959 | |
Peggy A Callahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, Hyperbaric Medicine And Wound Care, West Allis, WI 53227 Phone: 414-203-3760 | |
Hillary A Tamar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2814 S 108th St, West Allis, WI 53227 Phone: 414-885-3525 | |
Francis X Ruzicka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S 70th St, West Allis, WI 53214 Phone: 414-773-6600 Fax: 414-773-6672 |