| Dr Timothy W Westlake, MD | |
|
791 E Summit Ave, Oconomowoc, WI 53066-3844 | |
| (262) 569-0251 | |
| (262) 569-0342 |
| Full Name | Dr Timothy W Westlake |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 791 E Summit Ave, Oconomowoc, 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 |
|---|---|---|---|
| 1184600447 | NPI | - | NPPES |
| 32580800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 41233-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medical Associates Llp | 0648242065 | 17 |
| Lake Country Emergency Physicians | 4385607555 | 7 |
| Entity Name | Emergency Medical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861483190 PECOS PAC ID: 0648242065 Enrollment ID: O20040806000968 |
| Entity Name | Lake Country Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720060585 PECOS PAC ID: 4385607555 Enrollment ID: O20041109000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy W Westlake, MD 6400 Industrial Loop, Greendale, WI 53129-2452 Ph: (414) 423-4100 | Dr Timothy W Westlake, MD 791 E Summit Ave, Oconomowoc, WI 53066-3844 Ph: (262) 569-0251 |
Paul H Rehnstrom, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342 | |
Jeffery N Glaspy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 Fax: 770-237-1723 | |
Timothy J Hill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342 | |
James Joseph Harper, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 |