| Taylor L Gatlin, | |
|
975 Port Washington Rd, Grafton, WI 53024-9204 | |
| (262) 329-1000 | |
| (262) 329-1001 |
| Full Name | Taylor L Gatlin |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 975 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083243687 | NPI | - | NPPES |
| 100100999 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 77593 (Wisconsin) | Primary |
| 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 |
|---|---|
| Taylor L Gatlin, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Taylor L Gatlin, 975 Port Washington Rd, Grafton, WI 53024-9204 Ph: (262) 329-1000 |
Man Dick Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2135 Fax: 262-329-3151 | |
Dr. Ali A Sadeghi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 414-219-2000 | |
Dr. Robert J Schlosser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Dr. Andrew Edward Nicoli, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Jeremy M Groth, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 | |
Jennifer W Niedfeldt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 |