Mr Hector Sierra Escobedo, AA-C | |
975 Port Washington Rd, Grafton, WI 53024-9201 | |
(262) 329-1000 | |
(414) 385-1590 |
Full Name | Mr Hector Sierra Escobedo |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 5 Years |
Location | 975 Port Washington Rd, Grafton, 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 |
---|---|---|---|
1538629274 | NPI | - | NPPES |
100090998 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Missouri) | Secondary |
367H00000X | Anesthesiologist Assistant | 138 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Grafton | Grafton, 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 |
---|---|
Mr Hector Sierra Escobedo, AA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 329-1000 | Mr Hector Sierra Escobedo, AA-C 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
Natasha Voves, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Kara Rose Kohlmann, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Samiha Fatayer, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Boyd Joseph Decker, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Peter George Andrew, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |