Richard J Wakefield, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-1000 | |
Not Available |
Full Name | Richard J Wakefield |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 47 Years |
Location | 36500 Aurora Dr, Summit, 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 |
---|---|---|---|
1811901697 | NPI | - | NPPES |
P00452820 | Other | WI | RR MEDICARE |
30448400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 22059 (Wisconsin) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 22059 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Summit | Summit, 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 |
---|---|
Richard J Wakefield, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Richard J Wakefield, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Bijan Nezami, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Kevin L Eggleston, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-4711 Fax: 262-434-4041 | |
Rebecca M Striet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Department Of Wound Care/hyperbaric Medicine 3rd Floor, Summit, WI 53066 Phone: 262-434-5000 | |
Vijay Johnson, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Hung Nhat Pham, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Shubhi Sehgal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Pravin Gupta, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 515-471-9320 |