| Dr Krisos D Spyratos, DO | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 948-5600 | |
| Not Available |
| Full Name | Dr Krisos D Spyratos |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1780203901 | NPI | - | NPPES |
| 100247993 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Kenosha | Kenosha, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora West Allis Medical Center | West allis, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Lakeshore Medical Clinic Llc | 7719890730 | 375 |
| 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 | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krisos D Spyratos, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Krisos D Spyratos, DO 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
Gregory Kaftan, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 30th Ave, Kenosha, WI 53144 Phone: 262-658-7102 |
Kyle Justin Dubose, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 Fax: 262-948-7388 |