| Maher Fattouh, MD | |
|
4131 W Loomis Rd, Ste 300 Advanced Pain Management, Greenfield, WI 53221 | |
| (414) 325-7246 | |
| (414) 325-3700 |
| Full Name | Maher Fattouh |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 35 Years |
| Location | 4131 W Loomis Rd, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457309965 | NPI | - | NPPES |
| 34413500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 01083699A (Indiana) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 45177 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rci (wrs), Llc. | 5092624510 | 362 |
| Midwest Innovative Pain Management Pc | 7113334004 | 2 |
| Entity Name | Pinnacle Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546530 PECOS PAC ID: 1254331184 Enrollment ID: O20080430000005 |
| Entity Name | Midwest Neurology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124453279 PECOS PAC ID: 3779710660 Enrollment ID: O20131223000284 |
| Entity Name | Midwest Innovative Pain Management Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487239067 PECOS PAC ID: 7113334004 Enrollment ID: O20210319001339 |
| Mailing Address | Practice Location Address |
|---|---|
| Maher Fattouh, MD 4131 W Loomis Rd, Ste 300 Advanced Pain Management, Greenfield, WI 53221 Ph: (414) 325-7246 | Maher Fattouh, MD 4131 W Loomis Rd, Ste 300 Advanced Pain Management, Greenfield, WI 53221 Ph: (414) 325-7246 |
Mrs. Nileshkumar Patel, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Ste 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 |