| Dr Daisy Andaleon, MD | |
|
10256 Old Green Bay Rd, Pleasant Prairie, WI 53158-2814 | |
| (262) 551-4270 | |
| Not Available |
| Full Name | Dr Daisy Andaleon |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 10256 Old Green Bay Rd, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093723413 | NPI | - | NPPES |
| 04923008 | Other | IL | BLUE CROSS BLUE SHIELD |
| F94385 | Other | IL | UPIN |
| K401239436 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36091220 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| American Home Care Express Inc | Lincolnwood, IL | Home health agency |
| Assure Home Healthcare, Inc | Skokie, IL | Home health agency |
| Vista Medical Center East | Waukegan, IL | Hospital |
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waukegan Clinic Corp | 4284631086 | 58 |
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | Waukegan Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daisy Andaleon, MD 10256 Old Green Bay Rd Fl 3, Pleasant Prairie, WI 53158-2814 Ph: (262) 551-4270 | Dr Daisy Andaleon, MD 10256 Old Green Bay Rd, Pleasant Prairie, WI 53158-2814 Ph: (262) 551-4270 |
William J Jeranek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 | |
Mr. John A Martini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7050 | |
Aimee F Ledesma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. Tomasz M Jarzembowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. George T Poullette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Road, Pleasant Prairie, WI 53158 Phone: 262-551-4200 Fax: 262-551-4947 | |
Michelle Louise Gauthier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-577-8320 Fax: 262-577-8372 |