Procare Medical Group Sc | |
3727 W Wisconsin Ave Milwaukee WI 53208-3182 | |
(414) 291-2626 | |
(414) 291-2630 |
Full Name | Procare Medical Group Sc |
---|---|
Speciality | Clinic/Center |
Location | 3727 W Wisconsin Ave, Milwaukee, Wisconsin |
Authorized Official Name and Position | Rosalina Valle (OFFICE MANAGER) |
Authorized Official Contact | 4142912624 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Procare Medical Group Sc 3727 W Wisconsin Ave Milwaukee WI 53208-3182 Ph: (414) 291-2626 | Procare Medical Group Sc 3727 W Wisconsin Ave Milwaukee WI 53208-3182 Ph: (414) 291-2626 |
NPI Number | 1922164656 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 09/23/2021 |
Medicare PECOS PAC ID | 0840277265 |
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Medicare Enrollment ID | O20040702000975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922164656 | NPI | - | NPPES |
32808100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Wisconsin) | Primary |
Provider Name | Candadai Sundaram |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669469193 PECOS PAC ID: 7719960764 Enrollment ID: I20040610000715 |
Provider Name | Maria Quevedo Visaya |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487615431 PECOS PAC ID: 0244261329 Enrollment ID: I20050829000543 |
Provider Name | Mohammed Ziad Nwilati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437195880 PECOS PAC ID: 6406833839 Enrollment ID: I20050829000562 |
Provider Name | Abdul Q Arif |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700841384 PECOS PAC ID: 9032133533 Enrollment ID: I20060124000336 |
Provider Name | Ann Marie Amaya |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1720043300 PECOS PAC ID: 2365530953 Enrollment ID: I20071115000186 |
Provider Name | Shakaib M Razzaq |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1497712574 PECOS PAC ID: 2961489398 Enrollment ID: I20080627000275 |
Provider Name | Christina M Vega |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1942453360 PECOS PAC ID: 9830250505 Enrollment ID: I20081212000705 |
Provider Name | Rica Rodriguez Canseco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538348537 PECOS PAC ID: 4082768999 Enrollment ID: I20090812000100 |
Provider Name | Anjum M Razzaq |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1750475620 PECOS PAC ID: 8325025752 Enrollment ID: I20100521000089 |
Provider Name | Violeta A Singson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518025782 PECOS PAC ID: 1759566508 Enrollment ID: I20110421000351 |
Provider Name | Annike K Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669755963 PECOS PAC ID: 7719150713 Enrollment ID: I20111108000776 |
Provider Name | Amy L Schuldt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831447986 PECOS PAC ID: 5597916148 Enrollment ID: I20121108000348 |
Provider Name | Amjad A Safvi |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20121218000565 |
Provider Name | Angeline Vercauteren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407287543 PECOS PAC ID: 6305076290 Enrollment ID: I20140219001793 |
Provider Name | Cindy Koplitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982026043 PECOS PAC ID: 3779713920 Enrollment ID: I20140307001576 |
Provider Name | Lileta Wint |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649690942 PECOS PAC ID: 0345464038 Enrollment ID: I20140619002311 |
Provider Name | Maisee Sayaovang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881003861 PECOS PAC ID: 6406178151 Enrollment ID: I20150121002389 |
Provider Name | Natalie Kerber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184075160 PECOS PAC ID: 1456646256 Enrollment ID: I20160817003360 |
Provider Name | Chasity Lynn Callender |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1760935902 PECOS PAC ID: 5496040099 Enrollment ID: I20160822001685 |
Provider Name | Jenta O Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023562758 PECOS PAC ID: 5890081715 Enrollment ID: I20160901000687 |
Provider Name | Amy K Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609220789 PECOS PAC ID: 8022304864 Enrollment ID: I20160906000275 |
Provider Name | Mai Xiong Vang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669911178 PECOS PAC ID: 6901182740 Enrollment ID: I20170411001143 |
Provider Name | Elisabeth Mary Schoofs Ziebell |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1346775905 PECOS PAC ID: 7517244270 Enrollment ID: I20170505000600 |
Provider Name | Kelley A Beltran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063949600 PECOS PAC ID: 8022385046 Enrollment ID: I20170523001924 |
Provider Name | Karin Elizabeth Gustafson |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1932472966 PECOS PAC ID: 4486924537 Enrollment ID: I20170721001623 |
Provider Name | Iyaku Terrell Russ |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285968461 PECOS PAC ID: 6507143898 Enrollment ID: I20171023001392 |
Provider Name | Mara E Schuh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720568553 PECOS PAC ID: 8224381306 Enrollment ID: I20181019002405 |
Provider Name | Alex Amanda Foley |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1033764675 PECOS PAC ID: 2961835434 Enrollment ID: I20191214000275 |
Provider Name | Courtney Lamm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376185819 PECOS PAC ID: 1052746468 Enrollment ID: I20200129003056 |
Provider Name | Jagmeet S Soin |
---|---|
Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1295726271 PECOS PAC ID: 6901886712 Enrollment ID: I20200827002514 |
Provider Name | Camilla Lynn Roe |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1033731765 PECOS PAC ID: 7113347816 Enrollment ID: I20201019002549 |
Provider Name | Ashley M Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477169837 PECOS PAC ID: 7911318753 Enrollment ID: I20201130000812 |
Provider Name | Sarah Emmerich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497352728 PECOS PAC ID: 7517378367 Enrollment ID: I20201130000992 |
Provider Name | Mary Jane De Jesus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194337089 PECOS PAC ID: 2466866983 Enrollment ID: I20210125001708 |
Provider Name | Lisa Danita Ettienne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568036630 PECOS PAC ID: 0345632139 Enrollment ID: I20220128001518 |
Provider Name | Kelsey Micech |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174287577 PECOS PAC ID: 9032505920 Enrollment ID: I20220331003112 |
Provider Name | Caitlin Marston Stansil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356093397 PECOS PAC ID: 8820485824 Enrollment ID: I20220421000774 |
Provider Name | April Marianne Gulfan Enriquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487394821 PECOS PAC ID: 8628455474 Enrollment ID: I20220516002826 |
Provider Name | Jolene Melius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215651278 PECOS PAC ID: 5395117477 Enrollment ID: I20230220000267 |
Provider Name | Nicole Marie Jones |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1841975687 PECOS PAC ID: 9032570833 Enrollment ID: I20230726001911 |
Provider Name | Kathleen Storck |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1033891213 PECOS PAC ID: 3779938642 Enrollment ID: I20231012001529 |
Provider Name | Asif Mehmood Khan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972293769 PECOS PAC ID: 5890147979 Enrollment ID: I20240115001418 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
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Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
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Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |