| Anthony A Niezyniecki, MD | |
|
111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Anthony A Niezyniecki |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 111 E Wisconsin Ave, Milwaukee, 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 |
|---|---|---|---|
| 1104864842 | NPI | - | NPPES |
| 930068408 | Other | WI | MEDICARE RAILROAD |
| 930063876 | Other | WI | MEDICARE RAILROAD |
| 930062816 | Other | IL | MEDICARE RAILROAD |
| 32353600 | Medicaid | WI | |
| P00036018 | Other | WI | MEDICARE RAILROAD |
| P00079203 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-094801 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 38776-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Belvidere Emergency Physicians, Llc | 1254794415 | 14 |
| Rockford Emergency Physicians, Llc | 4385007640 | 44 |
| Entity Name | Sound Physicians Emergency Medicine Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184232621 PECOS PAC ID: 6800215146 Enrollment ID: O20201006000945 |
| Entity Name | Rockford Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639876634 PECOS PAC ID: 4385007640 Enrollment ID: O20230905000499 |
| Entity Name | Belvidere Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306543319 PECOS PAC ID: 1254794415 Enrollment ID: O20230906000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony A Niezyniecki, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Anthony A Niezyniecki, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 |
Dr. Colleen Ann Crowe, M.D., M.P.H. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6469 | |
Natalia Rumas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2323 N Lake Dr, Milwaukee, WI 53211 Phone: 414-290-6720 Fax: 414-290-6755 | |
Adam C Ankrum, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202 Phone: 414-290-6720 Fax: 414-290-6755 | |
Andrea Michelle Kraus, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St Ste 100, Milwaukee, WI 53215 Phone: 414-647-5203 Fax: 414-858-2236 | |
Lisa Hubbard, CFNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 W Chambers St, Milwaukee, WI 53210 Phone: 414-447-2000 Fax: 414-874-4393 | |
Mckenna Jean Knych, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6450 Fax: 414-805-6464 | |
Dr. Alina M Winans, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-2000 Fax: 414-219-6650 |