| John T Hambrook, MD | |
|
1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | |
| (414) 479-2300 | |
| Not Available |
| Full Name | John T Hambrook |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 1055 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477760577 | NPI | - | NPPES |
| 100003472 | Medicaid | WI | |
| 1477760577 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 53035 (Wisconsin) | Primary |
| 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 |
|---|---|
| John T Hambrook, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | John T Hambrook, MD 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 Ph: (414) 479-2300 |
Glena O Davies, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3289 N Mayfair Road, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Andrew Robert Mcasey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-955-5990 | |
Karen M Wegner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3040 N 117th St, Wauwatosa, WI 53222 Phone: 414-479-9990 Fax: 414-479-0230 | |
Dr. Sheryl L Moss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10625 W North Ave, Suite 222, Wauwatosa, WI 53226 Phone: 414-453-7173 Fax: 414-453-4653 | |
Dr. Tim Daniel Marsho, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8651 W North Ave, Wauwatosa, WI 53226 Phone: 414-774-9200 Fax: 414-774-9031 | |
Katrina Ubell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8651 W North Ave, Wauwatosa, WI 53226 Phone: 414-774-9200 Fax: 414-774-9031 | |
Nikola Dukic, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3040 N 117th St Ste 100, Wauwatosa, WI 53222 Phone: 414-479-9990 Fax: 414-479-0230 |