| Tesalia R Jordens, DO | |
|
1550 Hobbs Dr, Delavan, WI 53115-2027 | |
| (262) 740-4200 | |
| Not Available |
| Full Name | Tesalia R Jordens |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 1550 Hobbs Dr, Delavan, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750762472 | NPI | - | NPPES |
| 100079046 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 68755 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | 125.067595 (Illinois) | Secondary |
| 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 |
| 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 |
| 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 |
|---|---|
| Tesalia R Jordens, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tesalia R Jordens, DO 1550 Hobbs Dr, Delavan, WI 53115-2027 Ph: (262) 740-4200 |
Dr. Kurt E Brueckert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Hobbs Dr, Delavan, WI 53115 Phone: 262-740-4200 Fax: 262-740-4239 | |
Dr. David K Mahon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1550 Hobbs Dr, Delavan, WI 53115 Phone: 262-740-4200 Fax: 262-740-4229 | |
Rachel Tara Joy Gronau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1038 E Geneva St, Delavan, WI 53115 Phone: 262-740-0681 Fax: 262-740-0776 | |
Christopher J Gilman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 540 Bowers Blvd, Dean Medical Center, Delavan, WI 53115 Phone: 262-728-5568 Fax: 262-728-7837 | |
Dr. Michael J Fehling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Hobbs Dr, Delavan, WI 53115 Phone: 262-740-4200 Fax: 262-740-4239 | |
Javier Gallegos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Hobbs Dr, Delavan, WI 53115 Phone: 262-740-4200 Fax: 262-740-4229 | |
Dr. Julie R Lynch, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 312 S 7th St, Suite 4, Delavan, WI 53115 Phone: 262-740-0900 Fax: 262-740-0909 |