| Emily Hogoboom, AA | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-1000 | |
| Not Available |
| Full Name | Emily Hogoboom |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 36500 Aurora Dr, Summit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679384101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (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 |
|---|---|
| Emily Hogoboom, AA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Emily Hogoboom, AA 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
Michael L Douglass, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Mary K Duffy, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Anthony James Sawall, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Mikayla Nicole Ehlert, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Matthew A Lyles, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Victoria M Sawall, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 |