| Raul Mateo, MD | |
|
2000 E Layton Ave, Saint Francis, WI 53235-6053 | |
| (414) 744-6589 | |
| (414) 747-8848 |
| Full Name | Raul Mateo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 2000 E Layton Ave, Saint Francis, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295814028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24212 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Wauwatosa, WI | Hospice |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Jewish Home And Care Center | Milwaukee, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 |
|---|---|
| Raul Mateo, MD 100-15th Ave., Ste. 180, South Milwaukee, WI 53172-1160 Ph: (414) 768-5430 | Raul Mateo, MD 2000 E Layton Ave, Saint Francis, WI 53235-6053 Ph: (414) 744-6589 |
Leyla M Solis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, Saint Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |