| Pratik Jivani, MD | |
|
725 American Ave, Waukesha, WI 53188-5031 | |
| (262) 928-5400 | |
| (262) 928-6140 |
| Full Name | Pratik Jivani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 725 American Ave, Waukesha, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598056756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 55672-20 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 55672 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Waukesha Sc | 1153670054 | 44 |
| Entity Name | Apogee Medical Group Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629415591 PECOS PAC ID: 2365677952 Enrollment ID: O20131107001094 |
| Entity Name | Apogee Medical Group Waukesha Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528544608 PECOS PAC ID: 1153670054 Enrollment ID: O20180827002216 |
| Mailing Address | Practice Location Address |
|---|---|
| Pratik Jivani, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-5400 | Pratik Jivani, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-5400 |
Mary Conti Swiontoniowski, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 725 American Avenue, Room 2036, Waukesha, WI 53188 Phone: 262-928-5400 Fax: 262-928-6140 | |
Ezzideen Barjes Alrawi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 111 Ann St, Waukesha, WI 53188 Phone: 414-393-9810 Fax: 414-393-9817 | |
Dr. Danielle M Smith, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha Memorial Hospital-hospitalist Group, Waukesha, WI 53188 Phone: 262-928-5400 | |
Poe Ei Lwin, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-5400 | |
Rajan Regmi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1260 Sentry Dr Ste 140, Waukesha, WI 53186 Phone: 262-524-1024 Fax: 262-524-8767 | |
Dr. Kevin Chiayu Chan, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-5400 | |
Leslie Ann Thompson, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-1000 |