| Jacob Laine, MD | |
|
1033 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3442 | |
| (414) 454-0600 | |
| (414) 454-0971 |
| Full Name | Jacob Laine |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 10 Years |
| Location | 1033 N Mayfair Rd Ste 101, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679969307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 66853-20 (Wisconsin) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 66853-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gi Associates Llc | 6103738562 | 42 |
| Milwaukee Gi Specialists Sc | 8123930542 | 13 |
| Entity Name | Gi Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801863501 PECOS PAC ID: 6103738562 Enrollment ID: O20031104000195 |
| Entity Name | Milwaukee Gi Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639515000 PECOS PAC ID: 8123930542 Enrollment ID: O20171207001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Laine, MD 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215-3689 Ph: (414) 454-0600 | Jacob Laine, MD 1033 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3442 Ph: (414) 454-0600 |
Geetha Ganesan, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Haroon Zubair, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
David A. Carron, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Dr. Kavita Sharma, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Phone: 414-615-5900 Fax: 414-615-5927 | |
Robert Michael Molloy, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Ankur N Patel, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. James T Kwiatt, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0500 Fax: 414-454-0971 |