| Cailah J Kasulke, MD | |
|
818 Forest Ln, Waterford, WI 53185-4585 | |
| (262) 514-3700 | |
| (262) 514-3867 |
| Full Name | Cailah J Kasulke |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 818 Forest Ln, Waterford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164196168 | NPI | - | NPPES |
| 100238222 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 81397-20 (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 | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Cailah J Kasulke, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Cailah J Kasulke, MD 818 Forest Ln, Waterford, WI 53185-4585 Ph: (262) 514-3700 |
Dr. Anwar R Isabell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-8199 | |
Dr. Jennifer Jayne Decker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 818 Forrest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 | |
Dr. Daniel A Allison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 | |
Dr. Melanie A Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867 |