| Dr Charles Santilukka, DO | |
|
1020 35th St, Suite 160, Kenosha, WI 53140-1932 | |
| (262) 652-3500 | |
| Not Available |
| Full Name | Dr Charles Santilukka |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 1020 35th St, Kenosha, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205192648 | NPI | - | NPPES |
| 100031358 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 61037-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aamg Reach Pllc | 5597133264 | 54 |
| 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 | Aamg Reach Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609502707 PECOS PAC ID: 5597133264 Enrollment ID: O20221216002458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Santilukka, DO 1020 35th St, Suite 160, Kenosha, WI 53140-1932 Ph: (262) 652-3500 | Dr Charles Santilukka, DO 1020 35th St, Suite 160, Kenosha, WI 53140-1932 Ph: (262) 652-3500 |
Ali J Kilic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Myriam Jacynthe Donovitch, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 |