| Lori A Hubacek, PA-C | |
|
2301 Sun Valley, Delafield, WI 53018-2318 | |
| (262) 928-4043 | |
| Not Available |
| Full Name | Lori A Hubacek |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2301 Sun Valley, Delafield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831206358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1325-023 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Medical X-ray Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386601383 PECOS PAC ID: 3274447313 Enrollment ID: O20040308000614 |
| Entity Name | Premier Radiology Wisconsin LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200211002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori A Hubacek, PA-C 2301 Sun Valley, Delafield, WI 53018-2318 Ph: (262) 928-4043 | Lori A Hubacek, PA-C 2301 Sun Valley, Delafield, WI 53018-2318 Ph: (262) 928-4043 |
Mr. Eric Ross Boehm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 Sun Valley Dr, Delafield, WI 53018 Phone: 262-928-4043 |
Allison Laurent, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 814 Genesee St, Delafield, WI 53018 Phone: 262-367-1717 |