| Scot A Wilfong, DO | |
|
1475 W Grand Ave, Port Washington, WI 53074 | |
| (262) 268-5100 | |
| (262) 268-5118 |
| Full Name | Scot A Wilfong |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1475 W Grand Ave, Port Washington, 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 |
|---|---|---|---|
| 1306953278 | NPI | - | NPPES |
| 31556500 | Medicaid | WI | |
| P00774641 | Other | WI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29688 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| 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 |
|---|---|
| Scot A Wilfong, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Scot A Wilfong, DO 1475 W Grand Ave, Port Washington, WI 53074 Ph: (262) 268-5100 |
Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 | |
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962 | |
Adam E. Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Michael A Martella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074 Phone: 920-476-6400 Fax: 262-725-0630 | |
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
John P Bonavia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6998 |