Mr Hector E Lopez, | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-1000 | |
Not Available |
Full Name | Mr Hector E Lopez |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639668718 | NPI | - | NPPES |
100099121 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 73131 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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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 Hector E Lopez, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Hector E Lopez, 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Michael C Schmitt, Anesthesiology Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Charles R Hollman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Tami L Ulatowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-2440 | |
Travis M Hecker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 262-434-5350 | |
Susan M Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Dr. Angelo Louis Lambropoulos, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |