John Waeltz, MD is a
Obstetrics & Gynecology physician based in Glendale, Wisconsin. John Waeltz is licensed to practice in Wisconsin (license number 26524) and his current practice location is 4655 N Port Washington Rd, Suite 100, Glendale, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 961-7444.
NPI number for John Waeltz is 1174638621 and his current mailing address is 4655 N Port Washington Rd, Suite 100, Glendale, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174638621.
Physician's Profile
| Full Name | John Waeltz |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 4655 N Port Washington Rd, Glendale, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174638621
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 10/31/2008
Medical Identifiers
Medical identifiers for John Waeltz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174638621 | NPI | - | NPPES |
| 30767800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 26524 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Waeltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Waeltz, MD
4655 N Port Washington Rd, Suite 100,
Glendale, WI 53212-1004
Ph: (414) 961-7444 | John Waeltz, MD
4655 N Port Washington Rd, Suite 100,
Glendale, WI 53212-1004
Ph: (414) 961-7444 |
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