| Dr Kenneth G Schellhase, MD | |
|
210 Nw Barstow St, Waukesha Family Practice Center, Waukesha, WI 53188-3771 | |
| (262) 548-6907 | |
| (262) 548-3820 |
| Full Name | Dr Kenneth G Schellhase |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 210 Nw Barstow St, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982655452 | NPI | - | NPPES |
| 005006261T | Other | HUMANA | |
| 1982655452 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43093 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth G Schellhase, MD 210 Nw Barstow St, Waukesha Family Practice Center, Waukesha, WI 53188-3771 Ph: (262) 548-6907 | Dr Kenneth G Schellhase, MD 210 Nw Barstow St, Waukesha Family Practice Center, Waukesha, WI 53188-3771 Ph: (262) 548-6907 |
Dr. Susanne M Krasovich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Nw Barstow St, Waukesha Family Practice Center, Waukesha, WI 53188 Phone: 262-548-6903 Fax: 262-548-3820 | |
Dayken Elise Underdahl, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 W Moreland Blvd, Waukesha, WI 53188 Phone: 262-542-9100 | |
Madison Lund, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St Ste 210, Waukesha, WI 53188 Phone: 262-548-6903 | |
Carolyn K Day, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 W Moreland Blvd, Prohealth Care Medical Associates Inc, Waukesha, WI 53188 Phone: 262-542-9100 Fax: 262-542-7366 | |
Dr. Kathleen A Brass, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2130 Big Bend Rd, Prohealth Care Medical Associates, Waukesha, WI 53189 Phone: 262-928-7555 | |
Monica Anne Hammer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St Ste 201, Waukesha, WI 53188 Phone: 262-548-6903 | |
Bryn Lockwood Sutherland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Waukesha, WI 53188 Phone: 262-548-6903 |