| Jonathan Gregory Tlachac, MD | |
|
975 Port Washington Rd, Grafton, WI 53024-9201 | |
| (262) 329-2135 | |
| Not Available |
| Full Name | Jonathan Gregory Tlachac |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 975 Port Washington Rd, Grafton, 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 |
|---|---|---|---|
| 1629204078 | NPI | - | NPPES |
| 100008639 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 54241 (Wisconsin) | Primary |
| 207L00000X | Anesthesiology | MD436211 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| 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 | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Gregory Tlachac, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 329-2135 | Jonathan Gregory Tlachac, MD 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-2135 |
Taylor L Gatlin, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Man Dick Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2135 Fax: 262-329-3151 | |
Dr. Ali A Sadeghi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 414-219-2000 | |
Dr. Robert J Schlosser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Dr. Andrew Edward Nicoli, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Jeremy M Groth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Jennifer W Niedfeldt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |