| Dr Ahmad S Khraisat, MD | |
|
4448 W Loomis Rd, Greenfield, WI 53220-4800 | |
| (414) 817-0784 | |
| (414) 817-0787 |
| Full Name | Dr Ahmad S Khraisat |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 29 Years |
| Location | 4448 W Loomis Rd, Greenfield, 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 |
|---|---|---|---|
| 1750375143 | NPI | - | NPPES |
| 100012862 | Medicaid | WI | |
| 1750375143 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 43201 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 |
|---|---|
| Dr Ahmad S Khraisat, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Ahmad S Khraisat, MD 4448 W Loomis Rd, Greenfield, WI 53220-4800 Ph: (414) 817-0784 |
Heidi J Harkins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Michael F Girolami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Ismael Mohammad Abu Limon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St Ste 210, Greenfield, WI 53220 Phone: 414-847-7080 Fax: 414-810-4962 | |
Dr. Amjed Z Zidan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Vallikantha Nellaiappan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 | |
Amel Tobaa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 |