| Gwendolyn A Tanel, MD | |
|
120 Chapman Farms Blvd, Mukwonago, WI 53149-9337 | |
| (262) 363-6160 | |
| (262) 363-6165 |
| Full Name | Gwendolyn A Tanel |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 120 Chapman Farms Blvd, Mukwonago, 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 |
|---|---|---|---|
| 1821160763 | NPI | - | NPPES |
| 30669000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27095 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| 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 |
|---|---|
| Gwendolyn A Tanel, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Gwendolyn A Tanel, MD 120 Chapman Farms Blvd, Mukwonago, WI 53149-9337 Ph: (262) 363-6160 |
Danika Brianne Johnson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Chapman Farms Blvd, Mukwonago, WI 53149 Phone: 262-363-6160 | |
Steven C. Meisner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Avenue, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Anthony Norelli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Prohealth Care Medical Centers-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Steven C. Fehr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Steven G Hammer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 W. Maple Ave, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-363-1949 | |
Muhammad Erfan Ahmad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave, Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-928-1949 | |
Jill C. Larson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149 Phone: 262-928-1900 Fax: 262-928-1949 |