| Mr Brad A Johnson, MD | |
|
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
| (414) 421-8400 | |
| Not Available |
| Full Name | Mr Brad A Johnson |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | 6901 W Edgerton Ave, Greenfield, 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 |
|---|---|---|---|
| 1013250737 | NPI | - | NPPES |
| 1036645 | Medicaid | WA | |
| 100174759 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20554 (Wisconsin) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 20554 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, 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 |
|---|---|
| Mr Brad A Johnson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Brad A Johnson, MD 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 421-8400 |
Heidi J Harkins, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Michael F Girolami, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Ismael Mohammad Abu Limon, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St Ste 210, Greenfield, WI 53220 Phone: 414-847-7080 Fax: 414-810-4962 | |
Dr. Amjed Z Zidan, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Vallikantha Nellaiappan, M.D Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 | |
Amel Tobaa, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 |