| Mr Juan L Vega, MD | |
|
W3985 County Road Nn, Elkhorn, WI 53121-4337 | |
| (262) 741-2000 | |
| (262) 741-2180 |
| Full Name | Mr Juan L Vega |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 15 Years |
| Location | W3985 County Road Nn, Elkhorn, 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 |
|---|---|---|---|
| 1396061859 | NPI | - | NPPES |
| 1396061859 | Medicaid | WI | |
| 100034034 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 57028 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 57028 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Aurora Lakeland Medical Center | Elkhorn, 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 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Juan L Vega, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 741-2000 | Mr Juan L Vega, MD W3985 County Road Nn, Elkhorn, WI 53121-4337 Ph: (262) 741-2000 |
Kushal R Shah, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Aurora Medical Center - Lakeland, Elkhorn, WI 53121 Phone: 262-741-2000 | |
Dr. James F Stewart Ii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000 | |
Dr. Austin C Ko, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2000 |