| Dr Julie A Klein, MD | |
| 
					248 Mchenry St, Burlington, WI 53105-1828  | |
| (262) 767-2600 | |
| Not Available | 
| Full Name | Dr Julie A Klein | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 248 Mchenry St, Burlington, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376625327 | NPI | - | NPPES | 
| 877970 | Other | AZ | AHCCCS | 
| 877970-01 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 32950 (Arizona) | Secondary | 
| 208000000X | Pediatrics | 68641 (Wisconsin) | Primary | 
| Entity Name | Ies Arizona Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821752213 PECOS PAC ID: 7810382884 Enrollment ID: O20220310001059  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Julie A Klein, MD 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-2600  | Dr Julie A Klein, MD 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-2600  | 
Dr. Humaira Achakzai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-787-8000  | |
Dr. Joseph D Graciosa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8259 Fax: 262-767-8212  | |
Violeta J Komotos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000  |