| Cory Ryan Dubose, DO | |
|
2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | |
| (414) 649-6000 | |
| Not Available |
| Full Name | Cory Ryan Dubose |
|---|---|
| Gender | Male |
| Speciality | Undersea And Hyperbaric Medicine |
| Experience | 12 Years |
| Location | 2900 W Oklahoma 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 |
|---|---|---|---|
| 1811356736 | NPI | - | NPPES |
| 100055842 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 67295 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| 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 |
|---|---|
| Cory Ryan Dubose, DO 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 Ph: (414) 385-4262 | Cory Ryan Dubose, DO 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 649-6000 |
Dr. John P Simanonok, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215 Phone: 414-649-1292 | |
Dr. Jane M. Kotchen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8701 W Watertown Plank Rd, Department Of Population Health Clinic, Milwaukee, WI 53226 Phone: 414-955-8201 Fax: 414-955-6554 | |
Laurie Beth Gesell, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Dr. Michael William Lischak, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4111 W Mitchell St, Milwaukee, WI 53215 Phone: 414-385-8800 | |
Maureen P. Lavin, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 N Milwaukee St, Milwaukee, WI 53202 Phone: 615-778-4066 Fax: 615-778-9114 | |
Dr. Lori L Mcallister, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Dr. Peter Schnapp, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 8923 W Brown Deer Rd, Milwaukee, WI 53224 Phone: 414-355-4300 |