| Anewu LLC | |
|
214 Green Bay Rd Thiensville WI 53092-1616 | |
| (414) 305-4046 | |
| (414) 247-9004 |
| Full Name | Anewu LLC |
|---|---|
| Speciality | General Practice |
| Location | 214 Green Bay Rd, Thiensville, Wisconsin |
| Authorized Official Name and Position | Jose G Araujo (PRESIDENT/OWNER) |
| Authorized Official Contact | 4143054046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anewu LLC Po Box 639 Thiensville WI 53092-0639 Ph: (414) 247-9005 | Anewu LLC 214 Green Bay Rd Thiensville WI 53092-1616 Ph: (414) 305-4046 |
| NPI Number | 1457914301 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/18/2019 |
| Medicare PECOS PAC ID | 8022351030 |
|---|---|
| Medicare Enrollment ID | O20190514003254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457914301 | NPI | - | NPPES |
| 28823 | Other | WI | DR ARAUJO LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 207ZC0006X | Pathology - Clinical Pathology | () | Secondary |
| Provider Name | Jose G Araujo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033282967 PECOS PAC ID: 8628032182 Enrollment ID: I20140728001663 |
| Provider Name | Rebecca R Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609328277 PECOS PAC ID: 5698054195 Enrollment ID: I20161123001496 |
Ozaukee Medical Group, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Main St, Thiensville, WI 53092 Phone: 262-242-3000 Fax: 262-242-7191 |
Interpedia, S.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 216 Green Bay Rd Ste 109, Thiensville, WI 53092 Phone: 262-241-5414 Fax: 262-672-4046 |
North Shore Internal Medicine Specialist, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Main St, Thiensville, WI 53092 Phone: 262-242-3369 Fax: 262-242-3219 |
Thiensville Family Health Care SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Main St, Thiensville, WI 53092 Phone: 262-242-3369 Fax: 262-242-3219 |
Orthotic Wi MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Green Bay Rd, Thiensville, WI 53092 Phone: 414-764-9550 Fax: 414-435-3110 |