Sadoun I Omari, MD | |
12635 W. Bluemound Road, Brookfield, WI 53005-8004 | |
(414) 258-0606 | |
(414) 258-1953 |
Full Name | Sadoun I Omari |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 12635 W. Bluemound Road, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013902121 | NPI | - | NPPES |
32093100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34155 (Wisconsin) | Primary |
Entity Name | Children's Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790732410 PECOS PAC ID: 4981509742 Enrollment ID: O20031204000573 |
Mailing Address | Practice Location Address |
---|---|
Sadoun I Omari, MD 12635 W. Bluemound Road, Brookfield, WI 53005-8004 Ph: (414) 258-0606 | Sadoun I Omari, MD 12635 W. Bluemound Road, Brookfield, WI 53005-8004 Ph: (414) 258-0606 |
Dr. Jennifer M Chevalier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 Phone: 262-781-3065 Fax: 262-781-3835 | |
Megan E Hambrook, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 | |
Dr. Mark D Simms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005 Phone: 262-432-6600 Fax: 262-432-6604 | |
Andrea L. Munoz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13850 W Capitol Dr, Brookfield, WI 53005 Phone: 262-790-1118 Fax: 262-790-2070 | |
Dana Paletta Greulich, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13950 W Capitol Dr, Suite 200, Brookfield, WI 53005 Phone: 262-781-3065 Fax: 262-781-3835 | |
Deborah L Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13850 W Capitol Drive, Brookfield, WI 53005 Phone: 262-790-1118 Fax: 262-790-2070 |