| Dr Omar Kazmi, DO | |
|
10400 75th St, Kenosha, WI 53142 | |
| (262) 948-6640 | |
| (262) 948-6647 |
| Full Name | Dr Omar Kazmi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 10400 75th St, Kenosha, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215227251 | NPI | - | NPPES |
| 100048019 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 64486-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora At Home | Wauwatosa, WI | Hospice |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aamg Reach Pllc | 5597133264 | 54 |
| 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 |
| Entity Name | Aamg Reach Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609502707 PECOS PAC ID: 5597133264 Enrollment ID: O20221216002458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Kazmi, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Omar Kazmi, DO 10400 75th St, Kenosha, WI 53142 Ph: (262) 948-6640 |
Hanna Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715 | |
Leilane U Sta Romana, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751 | |
Raymond W Knight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Rodrigo Buencamino Mata Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Zebi Fatima, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |