| Graham Luke Machen, MD | |
|
9200 W Wisconsin Ave, Milwaukee, WI 53226 | |
| (414) 805-0805 | |
| (414) 955-0122 |
| Full Name | Graham Luke Machen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 12 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 |
|---|---|---|---|
| 1447695317 | NPI | - | NPPES |
| 1447695317 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 68533 (Wisconsin) | Primary |
| 208800000X | Urology | BP10047349 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Stone Center Pllc | 2961315718 | 60 |
| Alliance Urology Specialists | 8921902586 | 21 |
| Entity Name | Piedmont Stone Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
| Entity Name | Alliance Urology Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346204088 PECOS PAC ID: 8921902586 Enrollment ID: O20031125000195 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780004556 PECOS PAC ID: 4284782210 Enrollment ID: O20140714001637 |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Luke Machen, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-0805 | Graham Luke Machen, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226 Ph: (414) 805-0805 |
Mark Ehlers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215 Phone: 414-649-1280 Fax: 414-649-1288 | |
Dr. Michael L Guralnick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Dr. Pedro M. Banda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3087 | |
Erica Lynn Eggers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr Ste 306, Milwaukee, WI 53211 Phone: 414-298-7171 | |
Dr. Jay I Sandlow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Joshua Alan Bodie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Mr. Michael Ernst Mitchell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666 |