| Jolene E Andryk, MD | |
|
12203 Corporate Pkwy, Mequon, WI 53092-3388 | |
| (262) 387-8200 | |
| (262) 387-8271 |
| Full Name | Jolene E Andryk |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 31 Years |
| Location | 12203 Corporate Pkwy, Mequon, 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 |
|---|---|---|---|
| 1326074196 | NPI | - | NPPES |
| 33345200 | Medicaid | WI | |
| P00679656 | Other | WI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 37943 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | 37943 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1095 |
| 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 |
|---|---|
| Jolene E Andryk, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Jolene E Andryk, MD 12203 Corporate Pkwy, Mequon, WI 53092-3388 Ph: (262) 387-8200 |
Andreas Doermann, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Dr. Shunsuke Yoshida, M.D., M.S. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8239 |