| Robert L Richmond, DO | |
|
248 Mchenry St, Burlington, WI 53105-1828 | |
| (262) 767-8094 | |
| Not Available |
| Full Name | Robert L Richmond |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 13 Years |
| Location | 248 Mchenry St, Burlington, 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 |
|---|---|---|---|
| 1689930612 | NPI | - | NPPES |
| 100089475 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 62020 (Wisconsin) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 62020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Richmond, DO 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-8094 | Robert L Richmond, DO 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-8094 |
Dr. James T Moran, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8094 Fax: 262-767-8212 | |
Lili Barsky, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Ramakrishna P Venugopalan, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6148 Fax: 262-767-6147 | |
Nathan M Lebak, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Dr. Randall William Schmidt, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8262 Fax: 262-767-8212 | |
Dr. Fouad Jamal-ul Husnain, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 116 N Dodge St Ste 1, Burlington, WI 53105 Phone: 262-661-4000 Fax: 414-672-9941 | |
Aasim Mohammed, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 116 N Dodge St Ste 201, Burlington, WI 53105 Phone: 414-672-9940 |