| Dr Kristen Ann Klement Tassone, MD | |
|
1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | |
| (414) 955-4263 | |
| (414) 955-6286 |
| Full Name | Dr Kristen Ann Klement Tassone |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 17 Years |
| Location | 1155 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912149170 | NPI | - | NPPES |
| 1912149170 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 54773-20 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| 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 Kristen Ann Klement Tassone, MD 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 Ph: (414) 955-4263 | Dr Kristen Ann Klement Tassone, MD 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 Ph: (414) 955-4263 |
Kun-tai Hsu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-4263 Fax: 414-955-6286 | |
Dr. James Allen Vanheest, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226 Phone: 414-258-5130 Fax: 414-258-5150 | |
Dr. Jan Riecan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 North Mayfair Road, Suite 410, Wauwatosa, WI 53226 Phone: 414-774-1919 | |
Dr. James Patrick Ketterhagen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 204 N 86th St, Wauwatosa, WI 53226 Phone: 561-319-2133 Fax: 561-634-2015 | |
Edward B Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. Hanadi Bu-ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, 3rd Floor, Wauwatosa, WI 53226 Phone: 414-256-1920 Fax: 414-256-1921 | |
Nelson Agustin Rodriguez Unda, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-1000 Fax: 414-955-0183 |