| Mr Frederick Antwi, | |
|
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
| (262) 857-5000 | |
| Not Available |
| Full Name | Mr Frederick Antwi |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215566435 | NPI | - | NPPES |
| 100404142 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baal Perazim Wellness And Health Services Pc | 2567834666 | 11 |
| Baal Perazim Wellness Inc | 7618218587 | 20 |
| Advanced Urology, Ltd. | 0345148284 | 6 |
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| Entity Name | Advanced Urology, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589232 PECOS PAC ID: 0345148284 Enrollment ID: O20031230000143 |
| Entity Name | Baal Perazim Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215403530 PECOS PAC ID: 7618218587 Enrollment ID: O20190607000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Frederick Antwi, 3918 Church St, Evanston, IL 60203-1513 Ph: (773) 616-4647 | Mr Frederick Antwi, 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000 |
Lauren M Gehrig, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Mercedes Jean Saltou, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7050 | |
Laronda James, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3338 Fax: 262-656-3368 | |
Shannon L Yow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Mutsa Vollmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Jennifer Erich, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Rd Fl 2, Pleasant Prairie, WI 53158 Phone: 262-551-4200 |