| Dr Mitchell Allen Timmons, DO | |
|
9200 W Wisconsin Ave, Department Of Internal Medicine, Milwaukee, WI 53226-3522 | |
| (414) 805-6850 | |
| (414) 805-6851 |
| Full Name | Dr Mitchell Allen Timmons |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 17 Years |
| Location | 9200 W Wisconsin Ave, Milwaukee, 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 |
|---|---|---|---|
| 1285806182 | NPI | - | NPPES |
| 1285806182 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 54276 (Wisconsin) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 59029 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Winona Health Services | Winona, MN | Hospital |
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Winona Health Services | 8527977420 | 111 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467159210 PECOS PAC ID: 3375645179 Enrollment ID: O20220927002862 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell Allen Timmons, DO 9200 W Wisconsin Ave, Department Of Internal Medicine, Milwaukee, WI 53226-3522 Ph: (414) 805-6850 | Dr Mitchell Allen Timmons, DO 9200 W Wisconsin Ave, Department Of Internal Medicine, Milwaukee, WI 53226-3522 Ph: (414) 805-6850 |
Julia Bonner, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Therese J. Lange, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6550 Fax: 414-805-6550 | |
Soryal A Soryal, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 |