| Richard J Wakefield, MD | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-1000 | |
| Not Available |
| Full Name | Richard J Wakefield |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 48 Years |
| Location | 36500 Aurora Dr, Summit, 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 |
|---|---|---|---|
| 1811901697 | NPI | - | NPPES |
| P00452820 | Other | WI | RR MEDICARE |
| 30448400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 22059 (Wisconsin) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 22059 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Summit | Summit, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Wakefield, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Richard J Wakefield, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Bijan Nezami, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Kevin L Eggleston, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-4711 Fax: 262-434-4041 | |
Rebecca M Striet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Department Of Wound Care/hyperbaric Medicine 3rd Floor, Summit, WI 53066 Phone: 262-434-5000 | |
Vijay Johnson, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Shubhi Sehgal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Pravin Gupta, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 515-471-9320 | |
Brett T Mittelstedt, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |