Dr Jaime Quezada, MD | |
350 Peller Rd, Lake Geneva, WI 53147-4543 | |
(262) 249-0221 | |
(262) 249-0633 |
Full Name | Dr Jaime Quezada |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 350 Peller Rd, Lake Geneva, 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 |
---|---|---|---|
1356432660 | NPI | - | NPPES |
34581200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36520 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 47086-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waupun Memorial Hospital | Waupun, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaime Quezada, MD 350 Peller Rd, Lake Geneva, WI 53147-4543 Ph: (262) 249-0221 | Dr Jaime Quezada, MD 350 Peller Rd, Lake Geneva, WI 53147-4543 Ph: (262) 249-0221 |
Britton W Kolar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 | |
Dr. Austin Frank Bacchus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-4660 | |
Gary Myron, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 Fax: 262-249-0633 | |
Amar Y. Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 | |
Dr. Norbert G Debiase, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-249-0221 | |
Jason S So, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Peller Rd, Lake Geneva, WI 53147 Phone: 262-245-0221 Fax: 262-249-0633 |