Patricia Jean Liethen, MD | |
1640 E Sumner St, Hartford, WI 53027 | |
(262) 670-4000 | |
(262) 670-4451 |
Full Name | Patricia Jean Liethen |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 37 Years |
Location | 1640 E Sumner St, Hartford, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285741736 | NPI | - | NPPES |
31555500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29470 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Ctr Washington County | Hartford, 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 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
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 |
---|---|
Patricia Jean Liethen, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Patricia Jean Liethen, MD 1640 E Sumner St, Hartford, WI 53027 Ph: (262) 670-4000 |
Amber Hildebrandt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Michael J Long, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Bruce Edward Hickman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Carter A Aune, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Paul V Bullis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Nicholas John Brahm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Erin L Polczynski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-369-7040 Fax: 262-367-8744 |