| Erik Riley Jeanes, DO | |
|
1475 W Grand Ave, Port Washington, WI 53074-2074 | |
| (262) 268-5100 | |
| Not Available |
| Full Name | Erik Riley Jeanes |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 8 Years |
| Location | 1475 W Grand Ave, Port Washington, 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 |
|---|---|---|---|
| 1013440445 | NPI | - | NPPES |
| 100102092 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 72742 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| 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 |
|---|---|
| Erik Riley Jeanes, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Erik Riley Jeanes, DO 1475 W Grand Ave, Port Washington, WI 53074-2074 Ph: (262) 268-5100 |
Kenneth F. Jensen Jr., M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Mark S Bostwick, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Douglas B Mcmanus, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 |