| Andrew Bromir, PA-C | |
|
13250 Washington Ave, Mt Pleasant, WI 53177-1516 | |
| (262) 799-8700 | |
| Not Available |
| Full Name | Andrew Bromir |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 13250 Washington Ave, Mt Pleasant, 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 |
|---|---|---|---|
| 1437828936 | NPI | - | NPPES |
| 100260723 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1107 |
| 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 |
|---|---|
| Andrew Bromir, PA-C 4706 Harding Rd, Kenosha, WI 53142-3159 Ph: (815) 354-9546 | Andrew Bromir, PA-C 13250 Washington Ave, Mt Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Jon-paul Cloutier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3821 Spring St, Mt Pleasant, WI 53405 Phone: 262-687-4011 |
Olivia A Weber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mt Pleasant, WI 53177 Phone: 262-799-8700 |