| Leilani Gruezo Luell, NP | |
|
248 Mchenry St, Burlington, WI 53105-1828 | |
| (262) 767-8000 | |
| (262) 767-8190 |
| Full Name | Leilani Gruezo Luell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 248 Mchenry St, Burlington, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437616836 | NPI | - | NPPES |
| 100095922 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Rush University Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush University Medical Group | 5496658874 | 1134 |
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | County Of Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013920750 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Leilani Gruezo Luell, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Leilani Gruezo Luell, NP 248 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-8000 |
Katie Dolezal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Ms. Ann M Thompson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9500 | |
Brian A Schroeder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Magdalena Anna Horn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000 | |
Michele G Fojas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 Fax: 262-767-6545 | |
Lisa L Bray, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9200 | |
Corina E Beck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-741-2734 |