| Dr Adrian Kenneth Stull, MD | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (262) 799-8700 | |
| Not Available |
| Full Name | Dr Adrian Kenneth Stull |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 13250 Washington Ave, Mount Pleasant, 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 |
|---|---|---|---|
| 1023185360 | NPI | - | NPPES |
| 100015658 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 55813-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Ascension St Francis Hospital | Milwaukee, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Emergency Medicine Specialists Sc | 8729975461 | 162 |
| 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 | Emergency Medicine Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adrian Kenneth Stull, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Adrian Kenneth Stull, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Dr. James Samuel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 Fax: 262-884-4078 | |
Mr. Evan Jacob Clark, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8200 | |
Michael G Manske, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 | |
Dr. Joseph Thomas Humphrey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4201 Fax: 262-687-4334 | |
Dr. Suhas Channappa, M.D., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Dr. Matthew John Clark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4493 |