| Ann Luise West, MD | |
|
1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | |
| (815) 786-1967 | |
| (815) 786-1806 |
| Full Name | Ann Luise West |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 42 Years |
| Location | 1310 N Main St, Sandwich, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801816277 | NPI | - | NPPES |
| 036072751 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2722 (Wisconsin) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 036072751 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Obhg Wisconsin Sc | 0840551750 | 13 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Madison Medical Affiliates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
| Entity Name | Obhg Wisconsin SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Luise West, MD 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 Ph: (815) 786-1967 | Ann Luise West, MD 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 Ph: (815) 786-1967 |
Jill M Palko, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 831 Sandhurst Dr, Sandwich, IL 60548 Phone: 815-786-1088 Fax: 815-786-1314 |
Dr. James N Hawkins, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 831 Sandhurst Dr, Sandwich, IL 60548 Phone: 815-786-1088 Fax: 815-786-1314 |