Dr Tatiana Petrikova, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-5000 | |
Not Available |
Full Name | Dr Tatiana Petrikova |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 13 Years |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528313061 | NPI | - | NPPES |
100047427 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64190-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3207 |
Lakeshore Medical Clinic Llc | 7719890730 | 300 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Tatiana Petrikova, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 | Dr Tatiana Petrikova, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
Dr. Paul H Zuzick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Inna Alexandrovna Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Paramjit K Bamrah, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Christina T Meyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |