| Mark J Dykstra, MD | |
|
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | |
| (262) 251-7500 | |
| (262) 251-7128 |
| Full Name | Mark J Dykstra |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 44 Years |
| Location | N84w16889 Menomonee Ave, Menomonee Falls, 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 |
|---|---|---|---|
| 1083646772 | NPI | - | NPPES |
| 34132500 | Medicaid | WI | |
| P00462688 | Other | WI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 43757 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Dykstra, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Mark J Dykstra, MD N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500 |
Kevin M Zeeck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 | |
Dr. Jeffrey Paul Bejma, MD Urology Medicare: Accepting Medicare Assignments Practice Location: W129n7055 Northfield Dr, Community Memorial Medical Commons, Menomonee Falls, WI 53051 Phone: 262-253-5400 Fax: 262-253-3399 | |
Michelle Andrew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: W180n8000 Town Hall Rd, Urology, Menomonee Falls, WI 53051 Phone: 262-255-2500 |