Ahmed Ismail, DO | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-1000 | |
(262) 434-1000 |
Full Name | Ahmed Ismail |
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Gender | Male |
Speciality | Hospitalist |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346863321 | NPI | - | NPPES |
100242525 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.075984 (Illinois) | Secondary |
208M00000X | Hospitalist | 81164 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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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 |
---|---|
Ahmed Ismail, DO Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Ahmed Ismail, DO 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Anthony J Wampole, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Renee B Marszalek, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Varun Mehta, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |