Commonwealth Medical Group, Llc is a
Internal Medicine based in West Allis, Wisconsin. Commonwealth Medical Group, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
851 S 70th St, Suite 101, West Allis, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(414) 777-5100.
NPI number for Commonwealth Medical Group, Llc is 1477500361 and their current mailing address is 851 S 70th St, Suite 101, West Allis, Wisconsin. Commonwealth Medical Group, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477500361.
Healthcare Provider's Profile
| Full Name | Commonwealth Medical Group, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 851 S 70th St, West Allis, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477500361
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 10/09/2007
Medical Identifiers
Medical identifiers for Commonwealth Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477500361 | NPI | - | NPPES |
| 21251000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1314-029 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251H1200X | Physical Therapist - Hand | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Commonwealth Medical Group, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Commonwealth Medical Group, Llc
851 S 70th St, Suite 101,
West Allis, WI 53214-3147
Ph: (414) 777-5100 | Commonwealth Medical Group, Llc
851 S 70th St, Suite 101,
West Allis, WI 53214-3147
Ph: (414) 777-5100 |
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