| Ms Sussy Lynn King, MD | |
|
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
| (414) 325-5244 | |
| Not Available |
| Full Name | Ms Sussy Lynn King |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 6901 W Edgerton Ave, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942325923 | NPI | - | NPPES |
| 45329 | Other | NE | BCBS |
| 100064948 | Medicaid | WI | |
| 10025873800 | Medicaid | NE | |
| 10025691800 | Medicaid | NE | |
| 1942325923 | Other | WI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22686 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 66716 (Wisconsin) | Primary |
| 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 | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sussy Lynn King, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Ms Sussy Lynn King, MD 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244 |
Abdulrehman Siddiqui, MB BCH BAO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Dr. Kostandinos Tsoulfas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd, #300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Dr. Leart Neziri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Rita E Schulz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Kathryn M Kiyono, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Yuriy Zamota, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Venkata K Thota, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 |