| Emily Ruth Jaeger, MD | |
|
200 E Ryan Rd, Oak Creek, WI 53154-4563 | |
| (414) 570-3590 | |
| (414) 570-3599 |
| Full Name | Emily Ruth Jaeger |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 8 Years |
| Location | 200 E Ryan Rd, Oak Creek, 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 |
|---|---|---|---|
| 1114451085 | NPI | - | NPPES |
| 100285606 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01085379A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 83255 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 |
|---|---|
| Emily Ruth Jaeger, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Emily Ruth Jaeger, MD 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590 |
Dr. Richard V Colan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154 Phone: 414-762-3418 Fax: 414-762-3439 | |
Virendra K Misra, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154 Phone: 414-431-6760 Fax: 414-431-6761 |