| John F Lesko, MD | |
|
6276 Gilbert Cir, West Bend, WI 53095-9197 | |
| (414) 331-2032 | |
| Not Available |
| Full Name | John F Lesko |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 6276 Gilbert Cir, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831196484 | NPI | - | NPPES |
| 30655800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 27262 (Wisconsin) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 56366 (Minnesota) | Primary |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| John F Lesko, MD 6276 Gilbert Cir, West Bend, WI 53095-9197 Ph: (414) 331-2032 | John F Lesko, MD 6276 Gilbert Cir, West Bend, WI 53095-9197 Ph: (414) 331-2032 |
Mr. Timothy Karl Schultz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Dr. Michael Charles Reineck, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1201 Oak St, West Bend, WI 53095 Phone: 262-306-8820 Fax: 262-306-8931 | |
Mark T Omeara, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Dr. Timothy I Mullin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, Orthopaedic Surgery, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-326-2964 | |
Abbey Ferree, PA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1700 Paradise Dr, West Bend, WI 53095 Phone: 262-443-3800 |