| Kristi Lee Gwidt, MD | |
|
2621 S Green Bay Rd, Racine, WI 53406-4948 | |
| (262) 504-6150 | |
| (262) 504-6105 |
| Full Name | Kristi Lee Gwidt |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2621 S Green Bay Rd, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841722055 | NPI | - | NPPES |
| 100087286 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 70805-20 (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 |
|---|---|
| Kristi Lee Gwidt, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kristi Lee Gwidt, MD 2621 S Green Bay Rd, Racine, WI 53406-4948 Ph: (262) 504-6150 |
Dr. David C Zablotney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5333 Douglas Ave, Racine, WI 53402 Phone: 262-752-2100 Fax: 262-752-2122 | |
Camille A. Paquette-schulgit, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 | |
Jennifer J. Brittig, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2408 4 Mile Rd, Racine, WI 53402 Phone: 262-687-5995 | |
Adel Khdour, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5333 Douglas Ave, Racine, WI 53402 Phone: 262-752-2100 Fax: 262-752-2122 | |
Manmeet K Bains, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring Street, Racine, WI 53405 Phone: 262-687-8173 Fax: 262-687-8062 | |
Dr. Neetu Chakravarti, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine Family Medicine (medical College Of Wisconsin), Racine, WI 53403 Phone: 262-687-5656 | |
Dr. Andrew M Asbury, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2408 Four Mile Rd, Racine, WI 53402 Phone: 262-687-5995 |