| Mr Luis-alejandro Roldan Cubides, NP | |
|
14555 W National Ave, New Berlin, WI 53151-4494 | |
| (844) 284-0381 | |
| Not Available |
| Full Name | Mr Luis-alejandro Roldan Cubides |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 14555 W National Ave, New Berlin, 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 |
|---|---|---|---|
| 1184101586 | NPI | - | NPPES |
| 100082251 | Medicaid | WI |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| 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 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Luis-alejandro Roldan Cubides, NP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mr Luis-alejandro Roldan Cubides, NP 14555 W National Ave, New Berlin, WI 53151-4494 Ph: (844) 284-0381 |
Mr. Dennis J Garvin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12901 W National Ave, New Berlin, WI 53151 Phone: 262-787-5200 | |
Katherine Ciminelli Waller, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Michelle L Martin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 | |
Hannah Mazur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151 Phone: 262-432-7599 | |
Ms. Julie Ann Averbeck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Kyla Phu, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 844-284-0381 | |
Mrs. Margaret R Salinas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 |