| Robert J Hartman Jr, MD | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 857-5880 | |
| Not Available |
| Full Name | Robert J Hartman Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 16 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1730404385 | NPI | - | NPPES |
| 100070031 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036138785 (Illinois) | Secondary |
| 208800000X | Urology | 67769 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center Kenosha | Kenosha, 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 |
|---|---|
| Robert J Hartman Jr, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Robert J Hartman Jr, MD 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 857-5880 |
Dr. Meredith Carter Clubb, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 503, Kenosha, WI 53143 Phone: 262-656-8213 Fax: 262-656-8233 | |
John C Matteucci Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6127 Green Bay Road, Suite 600, Kenosha, WI 53142 Phone: 262-653-9221 Fax: 262-653-9229 | |
Dr. Harry M Matschke, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Ned R. Novsam, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Suite 503, Kenosha, WI 53143 Phone: 262-656-8213 Fax: 262-656-8233 |