Samuel David Racette, | |
2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | |
(414) 385-1922 | |
Not Available |
Full Name | Samuel David Racette |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 7 Years |
Location | 2801 W Kinnickinnic River Pkwy, Milwaukee, 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 |
---|---|---|---|
1902347255 | NPI | - | NPPES |
100245830 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 81935 (Wisconsin) | Primary |
207Y00000X | Otolaryngology | 125069920 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
---|---|
Samuel David Racette, Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 385-1922 | Samuel David Racette, 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 Ph: (414) 385-1922 |
Dr. Cecille G Sulman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226 Phone: 414-266-6467 Fax: 414-266-2693 | |
Dr. Michael Gorelik, Otolaryngology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-2982 Fax: 414-266-6989 | |
Dr. Karl William Doerfer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave Fl 3, Milwaukee, WI 53226 Phone: 414-805-5580 Fax: 414-476-4701 | |
Dr. William F Prudlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9200 West Wisconsin, Froedtert & Med College Clin - West, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Shishir N Sheth, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4841 | |
S. Fredric Horwitz I, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2350 W Villard Ave, # 207, Milwaukee, WI 53209 Phone: 414-527-9800 Fax: 414-527-9803 | |
Dr. Michael Edward Stadler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Otolaryngology, Milwaukee, WI 53226 Phone: 414-805-5580 Fax: 414-805-8324 |