| Mary Jo Rolfes-lo, MD | |
|
200 E Ryan Rd, Oak Creek, WI 53154-4563 | |
| (414) 570-3590 | |
| Not Available |
| Full Name | Mary Jo Rolfes-lo |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 35 Years |
| Location | 200 E Ryan Rd, Oak Creek, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508839838 | NPI | - | NPPES |
| 32347800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 38588-020 (Wisconsin) | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | 38588 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 |
|---|---|
| Mary Jo Rolfes-lo, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mary Jo Rolfes-lo, MD 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590 |
Motasem Mohd F Ghazi Alkhasoneh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 E Mahn Ct, Oak Creek, WI 53154 Phone: 717-307-1035 | |
Dr. Karri Ann Huber, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
Dr. Salim M Shammo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
John E. Stone, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 |