Therese Marie Whitt, MD | |
10400 75th St, Aurora Medical Center, Kenosha, WI 53142 | |
(262) 697-7000 | |
(630) 734-1560 |
Full Name | Therese Marie Whitt |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 10400 75th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225015704 | NPI | - | NPPES |
31461100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 26988020 (Wisconsin) | Primary |
Entity Name | Emergency Services Of Montgomery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
Mailing Address | Practice Location Address |
---|---|
Therese Marie Whitt, MD Po Box 3043, Mea-aea Kenosh Sc, Oak Brook, IL 60522 Ph: (630) 734-0200 | Therese Marie Whitt, MD 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Ph: (262) 697-7000 |
David Eric Farkas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560 | |
Ms. Kimberly Roberson, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Terry Zehr, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000 | |
Manuel A. Rivera, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218 | |
Mounica D Robinson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Benjamin A Feinzimer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 414-290-6720 Fax: 414-290-6755 |