| Deborah L Kim, MD | |
|
16985 W Bluemound Rd, Brookfield, WI 53005-5909 | |
| (262) 641-8400 | |
| (262) 784-3921 |
| Full Name | Deborah L Kim |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 16985 W Bluemound Rd, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215969456 | NPI | - | NPPES |
| 32164500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34528 (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 |
|---|---|
| Deborah L Kim, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Deborah L Kim, MD 16985 W Bluemound Rd, Brookfield, WI 53005-5909 Ph: (262) 641-8400 |
Anne Smazal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17345 Civic Dr, Ste 1327, Brookfield, WI 53045 Phone: 414-447-7330 Fax: 414-447-1070 | |
Dr. Jennifer M Chevalier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 Phone: 262-781-3065 Fax: 262-781-3835 | |
Sadoun I Omari, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12635 W. Bluemound Road, Brookfield, WI 53005 Phone: 414-258-0606 Fax: 414-258-1953 | |
Benjamin Landgraf, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12635 W Bluemound Rd, Brookfield, WI 53005 Phone: 414-258-0606 Fax: 414-258-1953 | |
Ana Victoria Menendez Bermudez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12635 W Bluemound Rd, Brookfield, WI 53005 Phone: 414-258-0606 Fax: 414-258-1953 | |
Megan E Hambrook, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 | |
Dr. Mark D Simms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005 Phone: 262-432-6600 Fax: 262-432-6604 |