| Karl A Greene, MD | |
|
9555 76th St, Pleasant Prairie, WI 53158-1984 | |
| (262) 577-8000 | |
| (262) 577-8869 |
| Full Name | Karl A Greene |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 9555 76th St, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376535492 | NPI | - | NPPES |
| 34125200 | Medicaid | WI | |
| 1376535492 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 43655 (Wisconsin) | Secondary |
| 207T00000X | Neurological Surgery | 43655 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl A Greene, MD 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8000 | Karl A Greene, MD 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8000 |
Brian P Walcott, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7710 | |
Dr. Michael Anthony Casey, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 Fax: 262-577-8869 | |
Dr. Shaun Thomas O'leary, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |