Lance D Rank, CAA | |
2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | |
(414) 649-6000 | |
Not Available |
Full Name | Lance D Rank |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 5 Years |
Location | 2900 W Oklahoma Ave, 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 |
---|---|---|---|
1750920112 | NPI | - | NPPES |
100096402 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 143-17 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
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 |
---|---|
Lance D Rank, CAA 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 649-6000 | Lance D Rank, CAA 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 649-6000 |
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