| Dr Debora J Sportiello, MD | |
|
2457 N Mayfair Rd, Suite 103, Wauwatosa, WI 53226-1405 | |
| (414) 476-0306 | |
| (414) 476-7720 |
| Full Name | Dr Debora J Sportiello |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 39 Years |
| Location | 2457 N Mayfair Rd, Wauwatosa, 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 |
|---|---|---|---|
| 1588719660 | NPI | - | NPPES |
| 70033400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 29585 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Debora J Sportiello, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 249-5000 | Dr Debora J Sportiello, MD 2457 N Mayfair Rd, Suite 103, Wauwatosa, WI 53226-1405 Ph: (414) 476-0306 |
Margaret H Carr, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Road, Wauwatosa, WI 53226 Phone: 414-259-7480 Fax: 414-259-7481 | |
Dr. Richard M. Clifford, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2350 N Met To Wee Ln, Wauwatosa, WI 53226 Phone: 414-476-6304 Fax: 414-476-1496 | |
Nava Lalehzari, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Ellen C Hayes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd Ste 420, Wauwatosa, WI 53226 Phone: 262-518-7448 | |
Curtis L Cornella-carlson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Danish S Siddiqui, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8320 W Bluemound Rd, Wauwatosa, WI 53213 Phone: 414-302-3800 | |
Karen Gotwalt, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 Phone: 414-771-8228 Fax: 414-256-2483 |