| Amg Medical Services Llc | |
|
1350 Deming Way Ste 240 Middleton WI 53562-4639 | |
| (608) 669-7333 | |
| Not Available |
| Full Name | Amg Medical Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1350 Deming Way Ste 240, Middleton, Wisconsin |
| Authorized Official Name and Position | Ahmed Ginawi (OWNER) |
| Authorized Official Contact | 6086697333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg Medical Services Llc 8550 Greenway Blvd Apt 111 Middleton WI 53562-4726 Ph: () - | Amg Medical Services Llc 1350 Deming Way Ste 240 Middleton WI 53562-4639 Ph: (608) 669-7333 |
| NPI Number | 1255104022 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 4880032788 |
|---|---|
| Medicare Enrollment ID | O20240410001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255104022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ugur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073151593 PECOS PAC ID: 0042658957 Enrollment ID: I20240410002332 |
| Provider Name | Simran Arora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619340791 PECOS PAC ID: 4789022682 Enrollment ID: I20240411002341 |
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