| Omuwa Braimah, | |
|
1100 Gateway Ct, West Bend, WI 53095 | |
| (262) 335-8600 | |
| Not Available |
| Full Name | Omuwa Braimah |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1100 Gateway Ct, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801280177 | NPI | - | NPPES |
| 100065610 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 67105-20 (Wisconsin) | Primary |
| 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 |
|---|---|
| Omuwa Braimah, 1100 Gateway Ct, West Bend, WI 53095-8539 Ph: (262) 335-8600 | Omuwa Braimah, 1100 Gateway Ct, West Bend, WI 53095 Ph: (262) 335-8600 |
Gary L Preisler, Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Deborah S Haas, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Bruce G Griswold, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Anthony S Guthrie, Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Daniela Aleman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Gary M Herdrich, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Jennifer S George, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Gateway Ct, West Bend, WI 53095 Phone: 262-335-8600 |