Mr Timothy Klusman, AA | |
4025 N 92nd St, Wauwatosa, WI 53222-1613 | |
(414) 358-5431 | |
(414) 358-5421 |
Full Name | Mr Timothy Klusman |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 10 Years |
Location | 4025 N 92nd St, Wauwatosa, 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 |
---|---|---|---|
1124429022 | NPI | - | NPPES |
1124429022 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2014031836 (Missouri) | Secondary |
367H00000X | Anesthesiologist Assistant | 49-017 (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 Timothy Klusman, AA 4025 N 92nd St, Wauwatosa, WI 53222-1613 Ph: (414) 358-5431 | Mr Timothy Klusman, AA 4025 N 92nd St, Wauwatosa, WI 53222-1613 Ph: (414) 358-5431 |
Anna Janulewicz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5431 | |
Kojo Bempong, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 Phone: 414-358-5431 | |
Erin E Taylor, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5431 | |
Brian A White, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5431 | |
John G Rippy, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5431 |