| Mrs Maria Quevado Visaya, MD | |
|
9200 W Loomis Rd, Franklin, WI 53132-8887 | |
| (414) 529-9200 | |
| Not Available |
| Full Name | Mrs Maria Quevado Visaya |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9200 W Loomis Rd, Franklin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487615431 | NPI | - | NPPES |
| 32617900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 41884020 (Wisconsin) | Primary |
| 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 | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Maria Quevado Visaya, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 529-9200 | Mrs Maria Quevado Visaya, MD 9200 W Loomis Rd, Franklin, WI 53132-8887 Ph: (414) 529-9200 |
Dr. Gary Duane Nordyke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10500 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9261 Fax: 414-529-9278 | |
Dr. Kimberly Anne Cronsell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Michael S Cianciolo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9200 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9200 | |
Dr. Angela L Baker-franckowiak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-228-4800 Fax: 414-433-9007 | |
Dr. Heather A Underkofler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Sanjeev N. Shukla, M.D., F.A.A.P. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10101 South 27th Street, 3rd Floor - Mob, Franklin, WI 53132 Phone: 414-325-4920 Fax: 414-325-4921 | |
Stacey Mulry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 |