| Leah F Farley, MD | |
|
6809 122nd Ave, Kenosha, WI 53142-7335 | |
| (262) 654-8633 | |
| (262) 654-5467 |
| Full Name | Leah F Farley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6809 122nd Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891052817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 8781005-1205 (Utah) | Secondary |
| 208000000X | Pediatrics | 67514-20 (Wisconsin) | Primary |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah F Farley, MD 6809 122nd Ave # 1, Kenosha, WI 53142-7335 Ph: (262) 654-8633 | Leah F Farley, MD 6809 122nd Ave, Kenosha, WI 53142-7335 Ph: (262) 654-8633 |
Colleen Maroney Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 75th St Ste 101, Kenosha, WI 53142 Phone: 262-652-9430 Fax: 262-652-9433 | |
Kristen Volkman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8500 75th St, Suite 101, Kenosha, WI 53142 Phone: 262-653-2260 | |
Ann Marie Sundareson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-654-8633 Fax: 262-654-5467 | |
Theresa Cafaro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-891-6600 | |
Dr. Ashvini Varadhi Biswas, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5828 | |
Dr. Sheryn Abraham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 75th St, Ste 101, Kenosha, WI 53142 Phone: 262-652-9430 Fax: 262-652-9433 | |
Gregory W Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-654-8633 Fax: 262-654-5467 |