| Mr Manuel Alejandro Sanchez, PHYSICIAN ASSISTANT | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 948-5600 | |
| Not Available |
| Full Name | Mr Manuel Alejandro Sanchez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1750638441 | NPI | - | NPPES |
| 100025081 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3005-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 3005 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Pleasant Prairie Hospital | Pleasant prairie, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Swea Fort Sc | 0345774972 | 51 |
| Vituity-wisconsin Hm Sc | 4880056126 | 29 |
| 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 | The Medical College of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20040304000743 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Froedtert &the Medical College of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20110318000342 |
| Entity Name | Vituity-wisconsin HM SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412 |
| Entity Name | Vituity-wisconsin Em SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
| Entity Name | Swea Fort SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295552065 PECOS PAC ID: 0345774972 Enrollment ID: O20241105002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Manuel Alejandro Sanchez, PHYSICIAN ASSISTANT Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 948-5600 | Mr Manuel Alejandro Sanchez, PHYSICIAN ASSISTANT 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
David B Kite, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000 |
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841 |
Inna Ialama, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6811 118th Ave, Kenosha, WI 53142 Phone: 262-857-5750 |
Miss Sarah Rens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591 |
Alison M Ketterhagen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 |
Elizabeth Bisciglia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800 Fax: 262-656-6957 |
Mr. William Henry Price, RSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4819 5th Ave, Unit 2, Kenosha, WI 53140 Phone: 847-917-3666 Fax: 888-370-3138 |