| John Patrick Walsh, MD | |
|
2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226-1309 | |
| (414) 476-0430 | |
| (414) 476-3242 |
| Full Name | John Patrick Walsh |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497723035 | NPI | - | NPPES |
| 340005580 | Other | WI | MEDICARE RAILROAD |
| 30129700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 17840020 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| John Patrick Walsh, MD 2600 N Mayfair Rd, Ste 545, Wauwatosa, WI 53226-1309 Ph: (414) 476-0430 | John Patrick Walsh, MD 2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226-1309 Ph: (414) 476-0430 |
William H Annesley Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1547 Upper Pkwy S, Wauwatosa, WI 53213 Phone: 414-254-5610 Fax: 414-755-7576 | |
Kohldon Carter Boydston, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226 Phone: 414-476-0430 | |
Christopher John Walsh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Ste 545, Wauwatosa, WI 53226 Phone: 414-476-0430 Fax: 414-476-3242 |