| Daniel T Kopesky, DO | |
|
1640 E Sumner St, Hartford, WI 53027 | |
| (262) 670-4000 | |
| (262) 670-4451 |
| Full Name | Daniel T Kopesky |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1640 E Sumner St, Hartford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114034659 | NPI | - | NPPES |
| 30080100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 37816 (Wisconsin) | Primary |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Madison Medical Affiliates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Obhg Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T Kopesky, DO 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Daniel T Kopesky, DO 1640 E Sumner St, Hartford, WI 53027 Ph: (262) 670-4000 |
Nicole E Menegakis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Henry M Kaminski, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1032 E Sumner St, Hartford, WI 53027 Phone: 262-673-2300 Fax: 262-670-7620 |