Sonya Marie Videkovich, PA-C, MPAS | |
2000 E Layton Ave, St Francis, WI 53235-6053 | |
(414) 744-7880 | |
Not Available |
Full Name | Sonya Marie Videkovich |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 7 Years |
Location | 2000 E Layton Ave, St Francis, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336664143 | NPI | - | NPPES |
100071914 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 4138 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Mailing Address | Practice Location Address |
---|---|
Sonya Marie Videkovich, PA-C, MPAS Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 744-7880 | Sonya Marie Videkovich, PA-C, MPAS 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-7880 |
Katelyn Vana Haasch, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-7880 Fax: 414-294-4570 | |
John Elmer Bukowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave Ste 130, St Francis, WI 53235 Phone: 414-747-8856 Fax: 262-303-5006 |