| Bryan Edward Jewett, MD | |
|
1640 E Sumner St, Hartford, WI 53027-2684 | |
| (262) 670-4000 | |
| (262) 670-4091 |
| Full Name | Bryan Edward Jewett |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1640 E Sumner St, Hartford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447360029 | NPI | - | NPPES |
| 89136UT | Medicaid | NC | |
| 34737300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 49857 (Wisconsin) | Primary |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Edward Jewett, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Bryan Edward Jewett, MD 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4000 |
Dr. Thomas R Wagner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-673-2300 Fax: 262-673-5894 | |
Kayla Chapman, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Katelyn A Levene, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4420 |