| Vikram Bamra, | |
|
4025 N 92nd St, Wauwatosa, WI 53222-1613 | |
| (414) 358-5437 | |
| (414) 358-5421 |
| Full Name | Vikram Bamra |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 4025 N 92nd St, Wauwatosa, 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 |
|---|---|---|---|
| 1952569667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 60930 - 20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| 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 |
| 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 |
|---|---|
| Vikram Bamra, 444 E Corcoran Ave, 601, Milwaukee, WI 53202-6121 Ph: (510) 590-1498 | Vikram Bamra, 4025 N 92nd St, Wauwatosa, WI 53222-1613 Ph: (414) 358-5437 |
Dr. Vincent Phillips Banker, MD Radiology Medicare: Medicare Enrolled Practice Location: 7310 Wellauer Dr, Wauwatosa, WI 53213 Phone: 414-475-1342 | |
Dr. Gregg Michael Gaylord, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 805 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-988-6773 Fax: 414-301-7253 | |
Henry Joseph Duffrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5437 Fax: 414-358-5451 | |
Dr. Samuel Isaac Frost, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 608-213-6295 | |
Ryan Sydnor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 216-210-5521 |