| Dr Charles Edward Allen Jr, MD | |
|
1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 | |
| (262) 928-8400 | |
| Not Available |
| Full Name | Dr Charles Edward Allen Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 1185 Corporate Center Dr, Oconomowoc, 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 |
|---|---|---|---|
| 1871804336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 61157-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | St Clare Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20050510001159 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Edward Allen Jr, MD 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 Ph: (262) 928-8400 | Dr Charles Edward Allen Jr, MD 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 Ph: (262) 928-8400 |
Dr. Richard N Terry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-560-3700 Fax: 262-569-2206 | |
Dr. Kristen Ann Vento, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Summit Ave, Prohealth Care Medical Associates, Oconomowoc, WI 53066 Phone: 262-567-0223 | |
Dr. Michael Loyal Cummens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1803 N Davies Dr, Oconomowoc, WI 53066 Phone: 262-646-8304 | |
Dr. Dale Alan Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066 Phone: 262-567-0223 Fax: 262-567-6380 | |
Dr. Thomas F Winters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 | |
Kyle J Kircher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl, Suite 103, Oconomowoc, WI 53066 Phone: 262-354-3744 Fax: 262-354-3748 | |
Mrs. Jennifer Lynn Scheeler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066 Phone: 414-928-4644 |