| Dr Harry M Matschke, MD | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 948-5600 | |
| Not Available |
| Full Name | Dr Harry M Matschke |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 10400 75th St, Kenosha, 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 |
|---|---|---|---|
| 1629032115 | NPI | - | NPPES |
| 036-102419 | Medicaid | IL | |
| 1629032115 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 71045 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harry M Matschke, MD 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 | Dr Harry M Matschke, MD 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
Dr. Meredith Carter Clubb, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 503, Kenosha, WI 53143 Phone: 262-656-8213 Fax: 262-656-8233 | |
John C Matteucci Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6127 Green Bay Road, Suite 600, Kenosha, WI 53142 Phone: 262-653-9221 Fax: 262-653-9229 | |
Robert J Hartman Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-857-5880 | |
Ned R. Novsam, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Suite 503, Kenosha, WI 53143 Phone: 262-656-8213 Fax: 262-656-8233 |