| Kevin Glatt, MD | |
|
8905 W Lincoln Ave Ste 409, West Allis, WI 53227-2469 | |
| (414) 328-8770 | |
| Not Available |
| Full Name | Kevin Glatt |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 8905 W Lincoln Ave Ste 409, West Allis, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194179093 | NPI | - | NPPES |
| 100101138 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 72751 (Wisconsin) | Primary |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Glatt, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kevin Glatt, MD 8905 W Lincoln Ave Ste 409, West Allis, WI 53227-2469 Ph: (414) 328-8770 |
Dr. Lisa M Stukenberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 Fax: 414-566-3866 |
Stephanie J Slock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8905 W Lincoln Ave Ste 409, West Allis, WI 53227 Phone: 414-328-8770 |
Feridoun Beroukhim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Ste 504, West Allis, WI 53227 Phone: 414-328-8670 |
Michael A Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S 70th St, West Allis, WI 53214 Phone: 414-773-6600 Fax: 414-773-6656 |
Andrew P Swietlik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2323 S 102nd St, West Allis, WI 53227 Phone: 414-541-9900 |