| Amy R Ford, DO | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-5000 | |
| (414) 805-7348 |
| Full Name | Amy R Ford |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 15 Years |
| Location | 36500 Aurora Dr, Summit, 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 |
|---|---|---|---|
| 1073838918 | NPI | - | NPPES |
| 100034107 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 56633 (Wisconsin) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 56633 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
|---|---|
| Amy R Ford, DO 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 | Amy R Ford, DO 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
Dr. David Tylicki, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Olivia Joi Steiner, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |