| William J Jeranek, MD | |
|
9555 76th Street, Pleasant Prairie, WI 53158 | |
| (262) 577-8300 | |
| Not Available |
| Full Name | William J Jeranek |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 50 Years |
| Location | 9555 76th Street, Pleasant Prairie, 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 |
|---|---|---|---|
| 1013941194 | NPI | - | NPPES |
| 30270200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21271 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Physical Therapy And Sports Rehab, Llc | 8022016336 | 178 |
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Jeranek, MD 9555 76th Street, Pleasant Prairie, WI 53158 Ph: () - | William J Jeranek, MD 9555 76th Street, Pleasant Prairie, WI 53158 Ph: (262) 577-8300 |
Mr. John A Martini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7050 | |
Aimee F Ledesma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. Tomasz M Jarzembowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. Daisy Andaleon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-551-4270 | |
Dr. George T Poullette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Road, Pleasant Prairie, WI 53158 Phone: 262-551-4200 Fax: 262-551-4947 | |
Michelle Louise Gauthier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-577-8320 Fax: 262-577-8372 |