| Patricia Jean Liethen, MD | |
|
1032 E Sumner St, Hartford, WI 53027-1608 | |
| (262) 673-2300 | |
| (262) 670-4451 |
| Full Name | Patricia Jean Liethen |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 39 Years |
| Location | 1032 E Sumner St, Hartford, 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 |
|---|---|---|---|
| 1285741736 | NPI | - | NPPES |
| 31555500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29470 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 29470 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Washington County | Hartford, 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 | 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 |
|---|---|
| Patricia Jean Liethen, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Patricia Jean Liethen, MD 1032 E Sumner St, Hartford, WI 53027-1608 Ph: (262) 673-2300 |
Robert Lee Christiansen, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-673-2300 | |
Nathan Tebo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-673-2300 |