| Inna Ialama, | |
|
6811 118th Ave, Kenosha, WI 53142-8420 | |
| (262) 857-5750 | |
| Not Available |
| Full Name | Inna Ialama |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 6811 118th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043175573 | NPI | - | NPPES |
| 100396885 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8603-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1095 |
| Aurora Health Care Metro, Inc. | 8628986536 | 76 |
| Mailing Address | Practice Location Address |
|---|---|
| Inna Ialama, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Inna Ialama, 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5750 |
David B Kite, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000 | |
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841 | |
Miss Sarah Rens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591 | |
Alison M Ketterhagen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Mr. William Henry Price, RSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4819 5th Ave, Unit 2, Kenosha, WI 53140 Phone: 847-917-3666 Fax: 888-370-3138 | |
Ms. Peyton Flynn Weber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314 |