| Jesse Vitch, AA | |
|
W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051-3518 | |
| (262) 257-5100 | |
| Not Available |
| Full Name | Jesse Vitch |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 11 Years |
| Location | W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114328226 | NPI | - | NPPES |
| 1114328226 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 88 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Vitch, AA W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051-3518 Ph: (262) 257-5100 | Jesse Vitch, AA W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051-3518 Ph: (262) 257-5100 |
Ammar Haq, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051 Phone: 262-257-5100 | |
Matt Jenkins, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
Ann-michael Holland, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
David R Howard, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051 Phone: 262-257-5100 | |
Sara Zemanovic, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
Martha Rocio Hernandez-krummel, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 |