| Marijan Jednacak, MD | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 697-7000 | |
| Not Available |
| Full Name | Marijan Jednacak |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1104842707 | NPI | - | NPPES |
| 34609400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 45210020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Marijan Jednacak, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Marijan Jednacak, MD 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 697-7000 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Rick J Hutson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Shaye Dostal, PA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4824 Green Bay Rd, Kenosha, WI 53144 Phone: 262-299-6199 | |
Dr. Paul G Spottswood, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Faraz Ahmad Khan Daha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 | |
Timothy James Maher, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 414-389-2131 |