| Michael Mullane, MD | |
|
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
| (262) 884-8340 | |
| Not Available |
| Full Name | Michael Mullane |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 40 Years |
| Location | 8400 Washington Ave, Mount Pleasant, 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 |
|---|---|---|---|
| 1053302729 | NPI | - | NPPES |
| 32142700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 36700 (Wisconsin) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 36700 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Health Care Metro, Inc. | 8628986536 | 75 |
| Entity Name | Aurora Health Care Metro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| 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 |
|---|---|
| Michael Mullane, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Michael Mullane, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-8340 |