| Dr William B Lutes, DO | |
|
7401 104th Ave Ste 110, Kenosha, WI 53142-7845 | |
| (262) 764-5595 | |
| (262) 764-9314 |
| Full Name | Dr William B Lutes |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 7401 104th Ave Ste 110, 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 |
|---|---|---|---|
| 1437123080 | NPI | - | NPPES |
| 1437123080 | Medicaid | WI | |
| 209664 | Other | IL | PROVIDER NUMBER CMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 52122-021 (Wisconsin) | Primary |
| 207X00000X | Orthopaedic Surgery | 52122-021 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Orthopaedics Sc | 3375445497 | 21 |
| Advantage Physical Therapy And Sports Rehab, Llc | 8022016336 | 178 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Comprehensive Orthopaedics Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295717445 PECOS PAC ID: 3375445497 Enrollment ID: O20040121000174 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William B Lutes, DO 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 Ph: (262) 764-5595 | Dr William B Lutes, DO 7401 104th Ave Ste 110, Kenosha, WI 53142-7845 Ph: (262) 764-5595 |
Clay Jamison Frank, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Dr. Aftab A Ansari, MDSC Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 30th Ave #104, Kenosha, WI 53144 Phone: 262-652-4878 Fax: 262-652-4974 | |
Jonathan D Main, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Dr. Matthew S Marcus, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Michael Didinsky, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 | |
Dr. Michael Josef Slimack, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 |