| Dr John R Slaby, DO | |
|
2629 N 7th St, Sheboygan, WI 53083-4932 | |
| (920) 451-5000 | |
| (920) 451-5333 |
| Full Name | Dr John R Slaby |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 2629 N 7th St, Sheboygan, 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 |
|---|---|---|---|
| 1134309354 | NPI | - | NPPES |
| 100071945 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 02003915A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 49742 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, 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 | Milwaukee Radiologists Ltd Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568564904 PECOS PAC ID: 7113915810 Enrollment ID: O20040503000756 |
| 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 |
| Entity Name | Amg Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972741759 PECOS PAC ID: 8527117027 Enrollment ID: O20100129000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Slaby, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr John R Slaby, DO 2629 N 7th St, Sheboygan, WI 53083-4932 Ph: (920) 451-5000 |
Dr. David J Fisher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1462 | |
William G Wagner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-459-8300 | |
Stanley Gutiontov, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1222 N 23rd St, Sheboygan, WI 53081 Phone: 920-457-6800 | |
Dr. Richard L Campbell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 | |
Dr. Randal J Zabrowski, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4541 N Evergreen Dr, Sheboygan, WI 53081 Phone: 920-457-0911 | |
Syed A Rahman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 |