| Katherine Kormanik, MD | |
|
215 Washington St, Grafton, WI 53024-1700 | |
| (262) 375-3700 | |
| (262) 376-6032 |
| Full Name | Katherine Kormanik |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 215 Washington St, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336261411 | NPI | - | NPPES |
| 35313800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 51808 (Wisconsin) | Primary |
| 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 |
|---|---|
| Katherine Kormanik, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Katherine Kormanik, MD 215 Washington St, Grafton, WI 53024-1700 Ph: (262) 375-3700 |
Maren Elizabeth Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Samantha Lynn Mcgreer Winstead, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934 | |
Sarah Lyne Godbert Gaethke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 | |
Thomas B Chatton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Kevin B Scammell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington Street, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020 | |
Dr. Mario R Powell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024 Phone: 262-329-1000 |