| Procare Medical Group Sc | |
|
3727 W Wisconsin Ave Milwaukee WI 53208-3182 | |
| (414) 291-2626 | |
| (414) 291-2630 |
| Full Name | Procare Medical Group Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3727 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rosalina Valle (OFFICE MANAGER) |
| Authorized Official Contact | 4142912624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Medical Group Sc 3727 W Wisconsin Ave Milwaukee WI 53208-3182 Ph: (414) 291-2626 | Procare Medical Group Sc 3727 W Wisconsin Ave Milwaukee WI 53208-3182 Ph: (414) 291-2626 |
| NPI Number | 1922164656 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 0840277265 |
|---|---|
| Medicare Enrollment ID | O20040702000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922164656 | NPI | - | NPPES |
| 32808100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Wisconsin) | Primary |
| Provider Name | Mohammed Ziad Nwilati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437195880 PECOS PAC ID: 6406833839 Enrollment ID: I20050829000562 |
| Provider Name | Abdul Q Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700841384 PECOS PAC ID: 9032133533 Enrollment ID: I20060124000336 |
| Provider Name | Shakaib M Razzaq |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497712574 PECOS PAC ID: 2961489398 Enrollment ID: I20080627000275 |
| Provider Name | Anjum M Razzaq |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750475620 PECOS PAC ID: 8325025752 Enrollment ID: I20100521000089 |
| Provider Name | Violeta A Singson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518025782 PECOS PAC ID: 1759566508 Enrollment ID: I20110421000351 |
| Provider Name | Annike K Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669755963 PECOS PAC ID: 7719150713 Enrollment ID: I20111108000776 |
| Provider Name | Amy L Schuldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831447986 PECOS PAC ID: 5597916148 Enrollment ID: I20121108000348 |
| Provider Name | Amjad A Safvi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20121218000565 |
| Provider Name | Cindy Koplitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982026043 PECOS PAC ID: 3779713920 Enrollment ID: I20140307001576 |
| Provider Name | Lileta Wint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649690942 PECOS PAC ID: 0345464038 Enrollment ID: I20140619002311 |
| Provider Name | Maisee Sayaovang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881003861 PECOS PAC ID: 6406178151 Enrollment ID: I20150121002389 |
| Provider Name | Natalie Kerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075160 PECOS PAC ID: 1456646256 Enrollment ID: I20160817003360 |
| Provider Name | Kelley A Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063949600 PECOS PAC ID: 8022385046 Enrollment ID: I20170523001924 |
| Provider Name | Sarah Emmerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497352728 PECOS PAC ID: 7517378367 Enrollment ID: I20201130000992 |
| Provider Name | Mary Jane De Jesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194337089 PECOS PAC ID: 2466866983 Enrollment ID: I20210125001708 |
| Provider Name | Jolene Melius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215651278 PECOS PAC ID: 5395117477 Enrollment ID: I20230220000267 |
| Provider Name | Asif Mehmood Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972293769 PECOS PAC ID: 5890147979 Enrollment ID: I20240115001418 |
| Provider Name | Tala Mardini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467265033 PECOS PAC ID: 1456881523 Enrollment ID: I20250205002601 |
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