| Thomas D Porter, NP | |
|
4320 67th Dr, Union Grove, WI 53182-9338 | |
| (262) 878-1211 | |
| Not Available |
| Full Name | Thomas D Porter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4320 67th Dr, Union Grove, 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 |
|---|---|---|---|
| 1528778321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13227-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
|---|---|
| Thomas D Porter, NP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 878-1211 | Thomas D Porter, NP 4320 67th Dr, Union Grove, WI 53182-9338 Ph: (262) 878-1211 |
Lorelei L Volstad, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-6746 | |
Lana R. Buttke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-7001 Fax: 262-878-7024 | |
Dina M Twigg, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-7001 Fax: 262-878-7024 | |
Jodene Strommen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 262-878-4424 | |
Miss Roxanne Roese, NURSEPRACTITIONER NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21425b Spring Street, Union Grove, WI 53182 Phone: 262-878-6532 Fax: 262-878-6570 | |
Mrs. Claire M Schallhorn, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4320 67th Dr, Union Grove, WI 53182 Phone: 262-878-1211 |