| Dr Patrick Michael Gardner, MD | |
|
3200 Pleasant Valley Rd, Department Of Pathology, West Bend, WI 53095-9274 | |
| (262) 836-7300 | |
| (262) 334-8484 |
| Full Name | Dr Patrick Michael Gardner |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 32 Years |
| Location | 3200 Pleasant Valley Rd, West Bend, 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 |
|---|---|---|---|
| 1912974858 | NPI | - | NPPES |
| 32421900 | Medicaid | WA | |
| 1912974858 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35568-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Community Hospital West Bend | West bend, WI | Hospital |
| Community Memorial Hospital | Menomonee falls, WI | Hospital |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1105 |
| 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 Patrick Michael Gardner, MD 3200 Pleasant Valley Rd, Department Of Pathology, West Bend, WI 53095-9274 Ph: (262) 836-7300 | Dr Patrick Michael Gardner, MD 3200 Pleasant Valley Rd, Department Of Pathology, West Bend, WI 53095-9274 Ph: (262) 836-7300 |
Dr. Jeanne E Hryciuk, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Dr. John Gilmore Fink, MD Pathology Medicare: Medicare Enrolled Practice Location: 551 S Silverbrook Dr, West Bend, WI 53095 Phone: 262-334-8287 Fax: 262-334-8497 | |
Christine Ann Wynveen, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Joseph P. Gormley, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7301 Fax: 262-836-7301 |