Allegiance Internal Medicine Specialists, Sc - Medicare Primary Care in Wauwatosa, WI

Allegiance Internal Medicine Specialists, Sc is a medicare enrolled primary clinic (Internal Medicine) in Wauwatosa, Wisconsin. The current practice location for Allegiance Internal Medicine Specialists, Sc is 2645 N Mayfair Rd Ste 200, Wauwatosa, Wisconsin. For appointments, you can reach them via phone at (414) 479-1800. The mailing address for Allegiance Internal Medicine Specialists, Sc is 2645 N Mayfair Rd Ste 200, Wauwatosa, Wisconsin and phone number is (414) 479-1800.

Allegiance Internal Medicine Specialists, Sc is licensed to practice in Wisconsin (license number ). The clinic also participates in the medicare program and its NPI number is 1699808196. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 479-1800.

Contact Information

Allegiance Internal Medicine Specialists, Sc
2645 N Mayfair Rd Ste 200
Wauwatosa
WI 53226-1304
(414) 479-1800
(414) 479-1813

Primary Care Clinic Profile

Full NameAllegiance Internal Medicine Specialists, Sc
SpecialityInternal Medicine
Location2645 N Mayfair Rd Ste 200, Wauwatosa, Wisconsin
Authorized Official Name and PositionAndrew C Kim (PRESIDENT)
Authorized Official Contact4144791800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allegiance Internal Medicine Specialists, Sc
2645 N Mayfair Rd Ste 200
Wauwatosa
WI 53226-1304

Ph: (414) 479-1800
Allegiance Internal Medicine Specialists, Sc
2645 N Mayfair Rd Ste 200
Wauwatosa
WI 53226-1304

Ph: (414) 479-1800

NPI Details:

NPI Number1699808196
Provider Enumeration Date03/13/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7517156433
Medicare Enrollment IDO20110107000674

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Medical Identifiers

Medical identifiers for Allegiance Internal Medicine Specialists, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699808196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Allegiance Internal Medicine Specialists, Sc acts as a billing entity for following providers:
Provider NameAndrew C Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184697625
PECOS PAC ID: 0345152674
Enrollment ID: I20100818000687

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Provider NameSamuel H Idarraga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700850070
PECOS PAC ID: 2769671346
Enrollment ID: I20110502000368

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