| Dr Peter J Bartzen, MD | |
|
8348 Washington Ave, Racine, WI 53406 | |
| (262) 884-4000 | |
| (262) 884-4009 |
| Full Name | Dr Peter J Bartzen |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 8348 Washington Ave, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053329789 | NPI | - | NPPES |
| 30381700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23336 (Wisconsin) | Primary |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter J Bartzen, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Peter J Bartzen, MD 8348 Washington Ave, Racine, WI 53406 Ph: (262) 884-4000 |
Richard Stoltenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 201, Racine, WI 53405 Phone: 262-687-5850 | |
Jerry M. Hardacre Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 201, Racine, WI 53405 Phone: 262-687-5850 | |
Dr. Joshua P Pessin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring Street, Suite 201, Racine, WI 53405 Phone: 262-687-5850 Fax: 262-687-5804 | |
Dr. Robert Frederick Siegert, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5048 Citation Dr, Racine, WI 53402 Phone: 262-639-8595 |