| Jordan David Mandel, MD | |
|
4710 W Loomis Rd, Greenfield, WI 53220-4823 | |
| (414) 433-1000 | |
| (414) 433-0195 |
| Full Name | Jordan David Mandel |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4710 W Loomis Rd, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962590125 | NPI | - | NPPES |
| 31878700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 32480 (Wisconsin) | Primary |
| Entity Name | Pain Management Center Of Wisconsin,s.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720112402 PECOS PAC ID: 0042287484 Enrollment ID: O20040914001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan David Mandel, MD 4710 W Loomis Rd, Greenfield, WI 53220-4823 Ph: (414) 433-1000 | Jordan David Mandel, MD 4710 W Loomis Rd, Greenfield, WI 53220-4823 Ph: (414) 433-1000 |
Dr. Sanjay K Sharma, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Elizabeth Anne Polacheck, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave, Ste 201, Greenfield, WI 53221 Phone: 414-727-8199 Fax: 414-727-8350 | |
Mr. Henry Nahum Rosler, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4710 W Loomis Rd, Greenfield, WI 53220 Phone: 414-433-1000 Fax: 414-433-0195 | |
Dr. Jerome Lerner, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Aruba Shaheen Ahmed, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3939 S 92nd St, Greenfield, WI 53228 Phone: 312-635-0973 Fax: 312-635-0050 | |
Mr. Henry Marion Alba, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4710 W Loomis Rd, Greenfield, WI 53220 Phone: 414-433-1000 Fax: 414-433-0195 | |
Jennifer Marie Hagen, OTR Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4110 W Barnard Ave, Greenfield, WI 53221 Phone: 414-217-1119 |