Randall S Yale, MD | |
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
(414) 328-6000 | |
(414) 649-1328 |
Full Name | Randall S Yale |
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Gender | Male |
Speciality | Anesthesiology |
Location | 8901 W Lincoln Ave, 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 |
---|---|---|---|
1710328307 | NPI | - | NPPES |
100091378 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7066 (Nebraska) | Secondary |
207L00000X | Anesthesiology | 71457 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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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 |
---|---|
Randall S Yale, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 328-6000 | Randall S Yale, MD 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000 |
Dr. Daniel M Smullen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, 2nd Fl, West Allis, WI 53227 Phone: 414-329-4300 | |
Dr. Nathan Paul Gabler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-328-8536 | |
Nicholas Edward Foster, Anesthesiology Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-649-1328 | |
Dr. Lily Qian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Dr. Robert A. Corish, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Kirsten J Simanonok, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Dr. Eduards J Vucins, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 |