| Jerry M Hardacre Ii, MD | |
|
3811 Spring St, Suite 201, Racine, WI 53405-1667 | |
| (262) 687-5850 | |
| Not Available |
| Full Name | Jerry M Hardacre Ii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 3811 Spring St, Racine, 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 |
|---|---|---|---|
| 1275563157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 30795 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry M Hardacre Ii, MD 3811 Spring St, Suite 201, Racine, WI 53405-1667 Ph: (262) 687-5850 | Jerry M Hardacre Ii, MD 3811 Spring St, Suite 201, Racine, WI 53405-1667 Ph: (262) 687-5850 |
Richard Stoltenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 201, Racine, WI 53405 Phone: 262-687-5850 | |
Dr. Peter J Bartzen, MD Surgery Medicare: Medicare Enrolled Practice Location: 8348 Washington Ave, Racine, WI 53406 Phone: 262-884-4000 Fax: 262-884-4009 | |
Dr. Joshua P Pessin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring Street, Suite 201, Racine, WI 53405 Phone: 262-687-5850 Fax: 262-687-5804 | |
Dr. Robert Frederick Siegert, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5048 Citation Dr, Racine, WI 53402 Phone: 262-639-8595 |