Sarah Lyne Godbert Gaethke, MD | |
215 Washington St, Grafton, WI 53024-1700 | |
(262) 375-3700 | |
Not Available |
Full Name | Sarah Lyne Godbert Gaethke |
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Gender | Female |
Speciality | Pediatrics |
Location | 215 Washington St, Grafton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144371261 | NPI | - | NPPES |
35307800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 50722-020 (Wisconsin) | Primary |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Sarah Lyne Godbert Gaethke, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Sarah Lyne Godbert Gaethke, MD 215 Washington St, Grafton, WI 53024-1700 Ph: (262) 375-3700 |
Maren Elizabeth Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Samantha Lynn Mcgreer Winstead, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Thomas B Chatton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Kevin B Scammell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington Street, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Dr. Mario R Powell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024 Phone: 262-329-1000 |