| Mr Michael William Probst, PA-C | |
|
16985 W Bluemound Rd, Brookfield, WI 53005-5909 | |
| (262) 641-8400 | |
| Not Available |
| Full Name | Mr Michael William Probst |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 16985 W Bluemound Rd, Brookfield, 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 |
|---|---|---|---|
| 1629385893 | NPI | - | NPPES |
| 100038627 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002144 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 3323 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1107 |
| 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 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 Michael William Probst, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 641-8400 | Mr Michael William Probst, PA-C 16985 W Bluemound Rd, Brookfield, WI 53005-5909 Ph: (262) 641-8400 |
Amanda Winter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1350 S Sunny Slope Rd, Brookfield, WI 53005 Phone: 262-798-8750 |
Richard J. Rather, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Prohealth Care Medical Centers-brookfield, 2085 N. Calhoun Road, Brookfield, WI 53005 Phone: 262-928-7100 Fax: 262-513-7111 |
Mrs. Corina G. Welch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17000 W North Ave Ste 104w, Brookfield, WI 53005 Phone: 262-395-4141 Fax: 262-395-4159 |
Courtney E Prasch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15430 W Capitol Dr Ste 100, Brookfield, WI 53005 Phone: 262-421-5133 |
Katie Ortman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-827-9200 |
Sarah S Stinski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005 Phone: 262-786-4550 |
Jeffrey Gerard Nicholson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 |