| Arminius Caldwell, | |
|
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
| (414) 489-9000 | |
| Not Available |
| Full Name | Arminius Caldwell |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235768532 | NPI | - | NPPES |
| 100285310 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 83302-20 (Wisconsin) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 83302-20 (Wisconsin) | Primary |
| 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 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Arminius Caldwell, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Arminius Caldwell, 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-9000 |
Dr. Noel K Garchitorena, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-9000 | |
Maximo L Cueto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4125 Fax: 414-489-4056 | |
Shaik O Sayeed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 |