| Brian P Walcott, MD | |
|
9555 76th St, Pleasant Prairie, WI 53158-1984 | |
| (262) 671-7710 | |
| Not Available |
| Full Name | Brian P Walcott |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 17 Years |
| Location | 9555 76th St, Pleasant Prairie, 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 |
|---|---|---|---|
| 1093975500 | NPI | - | NPPES |
| 036149400 | Other | IL | STATE LICENSE |
| A136268 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 036.149400 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
| Goleta Valley Cottage Hospital | Santa barbara, CA | Hospital |
| Santa Ynez Valley Cottage Hospital | Solvang, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cottage Clinical Associates | 0345625950 | 47 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Entity Name | Cottage Clinical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P Walcott, MD 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 671-7710 | Brian P Walcott, MD 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 671-7710 |
Dr. Michael Anthony Casey, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 Fax: 262-577-8869 | |
Dr. Shaun Thomas O'leary, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |