| Motasem Mohd F Ghazi Alkhasoneh, | |
|
335 E Mahn Ct, Oak Creek, WI 53154-2155 | |
| (717) 307-1035 | |
| Not Available |
| Full Name | Motasem Mohd F Ghazi Alkhasoneh |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 15 Years |
| Location | 335 E Mahn Ct, Oak Creek, 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 |
|---|---|---|---|
| 1023533403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MT213241 (Pennsylvania) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 73961-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fresenius Medical Care Midwest Kenosha | Kenosha, WI | Dialysis facility |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Midwest Nephrology Associates, S.c. | 8527045236 | 28 |
| 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 | Midwest Nephrology Associates, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659304467 PECOS PAC ID: 8527045236 Enrollment ID: O20040701000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Motasem Mohd F Ghazi Alkhasoneh, 335 E Mahn Ct, Oak Creek, WI 53154-2155 Ph: (717) 307-1035 | Motasem Mohd F Ghazi Alkhasoneh, 335 E Mahn Ct, Oak Creek, WI 53154-2155 Ph: (717) 307-1035 |
Dr. Karri Ann Huber, D.O. Nephrology 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. Nephrology 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 Nephrology Medicare: Medicare Enrolled Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 |