| Mikayla Nicole Ehlert, AA | |
|
36500 Aurora Dr, Summit, WI 53066-4899 | |
| (262) 434-1000 | |
| (262) 434-5050 |
| Full Name | Mikayla Nicole Ehlert |
|---|---|
| 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 |
|---|---|---|---|
| 1700591344 | NPI | - | NPPES |
| 100229331 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 514-017 (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 |
|---|---|
| Mikayla Nicole Ehlert, AA 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215-3660 Ph: (414) 649-6000 | Mikayla Nicole Ehlert, 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 | |
Emily Hogoboom, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
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 |