Mark Linus Leitschuh, MD | |
13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 | |
(262) 243-3700 | |
(262) 243-3701 |
Full Name | Mark Linus Leitschuh |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 42 Years |
Location | 13133 N Port Washington Rd, Mequon, 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 |
---|---|---|---|
1336217066 | NPI | - | NPPES |
31602900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207RC0000X | Internal Medicine - Cardiovascular Disease | 31195 (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 | 279 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Entity Name | Madison Medical Affiliates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
Mailing Address | Practice Location Address |
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Mark Linus Leitschuh, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (262) 243-3700 | Mark Linus Leitschuh, MD 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097-2419 Ph: (262) 243-3700 |
Marsha Fleming Davis, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1516 W Mequon Rd, Suite 103, Mequon, WI 53092 Phone: 262-242-0700 Fax: 262-242-0710 | |
George Albert Munkwitz, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2300 W. Bonniwell Rd., Mequon, WI 53097 Phone: 262-243-5861 | |
Norine T. Nazareth, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Luke F Rehrauer, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 12203 N Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Sonya Chalasani Rayan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 206, Mequon, WI 53097 Phone: 262-243-7680 Fax: 262-243-7770 | |
Keely Bornor Browning, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 13133 N Port Washington Rd Ste G16, Mequon, WI 53097 Phone: 262-243-2500 | |
Drew M Elgin, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13133 N Port Washington Rd, Suite G16, Mequon, WI 53097 Phone: 262-243-2500 Fax: 262-243-5395 |