| Nancy Blankenship, MD | |
|
2875 S 171st St, New Berlin, WI 53151-3511 | |
| (262) 786-3107 | |
| (262) 780-0442 |
| Full Name | Nancy Blankenship |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 2875 S 171st St, New Berlin, 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 |
|---|---|---|---|
| 1104840636 | NPI | - | NPPES |
| 31581000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 27558 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 Health Care Metro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
| 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 |
|---|---|
| Nancy Blankenship, MD 2875 S 171st St, New Berlin, WI 53151-3511 Ph: (262) 786-3107 | Nancy Blankenship, MD 2875 S 171st St, New Berlin, WI 53151-3511 Ph: (262) 786-3107 |
Peter Drescher, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Thomas Calvy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Keith Bernard, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Jeffery Scherer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Roger Axtell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 | |
Matthew Brewer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2875 S 171st St, New Berlin, WI 53151 Phone: 262-786-3107 Fax: 262-780-0442 |