| Dr Mary Elizabeth Burnett, MD | |
|
2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1415 | |
| (414) 475-9101 | |
| (414) 475-9203 |
| Full Name | Dr Mary Elizabeth Burnett |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 17 Years |
| Location | 2500 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 |
|---|---|---|---|
| 1437310596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 63139 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 4301092230 (Michigan) | Secondary |
| 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 | Allergy & Asthma Centers,s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699829192 PECOS PAC ID: 9931241460 Enrollment ID: O20100122000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Elizabeth Burnett, MD 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1409 Ph: (414) 475-9101 | Dr Mary Elizabeth Burnett, MD 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1415 Ph: (414) 475-9101 |
Dr. Terry S Graves, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
James A Cranberg, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
Dr. Walter Brummund, M.D.,PHD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226 Phone: 414-475-9101 Fax: 414-475-9203 | |
Sheldon R Forman, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 10400 W North Ave, Wauwatosa, WI 53226 Phone: 414-479-2300 |