| Lukas Gladstone, DO | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Lukas Gladstone |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679937452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 65729 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 71382-21 (Wisconsin) | Primary |
| Entity Name | Kalamazoo Emergency Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078 |
| Entity Name | Grand River Emergency Medical Group Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Lukas Gladstone, DO 1 Akron General Ave, Akron, OH 44307-2432 Ph: (330) 344-6000 | Lukas Gladstone, DO 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Dr. Michael Benjamin Deboer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Joann Cecilia Keith Litkey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
William Bleifuss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Dr. Jonathan S. Burns, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Enyioma Chukwuzurum Okechukwu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Maria Finke, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Daniel Jeffrey Sheets, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 |