| Kristina Ann Kleven, MD | |
|
13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 | |
| (262) 754-4488 | |
| (262) 754-4940 |
| Full Name | Kristina Ann Kleven |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 13800 W North Ave, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518950153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 44946020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highlander Dermatology Llc | 5698051365 | 3 |
| Entity Name | Highlander Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790216554 PECOS PAC ID: 5698051365 Enrollment ID: O20170412000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Ann Kleven, MD 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1756 Ph: (414) 290-4540 | Kristina Ann Kleven, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Dr. Manish J Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Thomas Joseph Russell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |