| Lisa Hahn Speidel, MD | |
|
6900 N Port Washington Rd, Glendale, WI 53217-3921 | |
| (414) 270-8100 | |
| (414) 270-8120 |
| Full Name | Lisa Hahn Speidel |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 6900 N Port Washington Rd, Glendale, 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 |
|---|---|---|---|
| 1255507034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53897 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Hahn Speidel, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 270-8100 | Lisa Hahn Speidel, MD 6900 N Port Washington Rd, Glendale, WI 53217-3921 Ph: (414) 270-8100 |
Linda Rebekah Rogow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 | |
Mary D Washburne, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-963-7100 | |
Michele Reyes, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6799 N Green Bay Ave, Glendale, WI 53209 Phone: 262-241-9131 Fax: 414-446-8627 |