Ruric (andy) Clesby Anderson, MD | |
1020 N 12th St, Internal Medicine Clinic Aurora Health Care, Milwaukee, WI 53233-1308 | |
(414) 219-7887 | |
(414) 219-7044 |
Full Name | Ruric (andy) Clesby Anderson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1020 N 12th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205995255 | NPI | - | NPPES |
P00337332 | Other | IL | RAILROAD MEDICARE |
036093106 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-093107 (Illinois) | Primary |
Entity Name | Rwjbh Primary Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265037501 PECOS PAC ID: 0749699346 Enrollment ID: O20210512000720 |
Mailing Address | Practice Location Address |
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Ruric (andy) Clesby Anderson, MD 1020 N 12th St Ste 5120, Aurora Health Care, Milwaukee, WI 53233-1308 Ph: (414) 219-7887 | Ruric (andy) Clesby Anderson, MD 1020 N 12th St, Internal Medicine Clinic Aurora Health Care, Milwaukee, WI 53233-1308 Ph: (414) 219-7887 |
Julia Bonner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Soryal A Soryal, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 | |
Aboud Affi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233 Phone: 414-291-3100 |