Dr Jordan Christine Hauck, DO | |
8905 W Lincoln Ave, West Allis, WI 53227-2468 | |
(414) 328-6000 | |
(414) 328-8536 |
Full Name | Dr Jordan Christine Hauck |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 8905 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881157956 | NPI | - | NPPES |
100158424 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2023-02186 (North Carolina) | Secondary |
207V00000X | Obstetrics & Gynecology | 74718 (Wisconsin) | Primary |
Entity Name | Wilmington Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Christine Hauck, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Jordan Christine Hauck, DO 8905 W Lincoln Ave, West Allis, WI 53227-2468 Ph: (414) 328-6000 |
Aida Shanti, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-329-4300 | |
Karen E. Dobbs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Stacy Michelle Syrcle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Scott A Kamelle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, West Allis, WI 53227 Phone: 414-329-5651 | |
Roa Qato, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 | |
Lisa B. Lloyd, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 | |
Amarjit S. Jaglan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Suite 501, West Allis, WI 53227 Phone: 414-978-2229 Fax: 414-978-2279 |