| Mark R Fitzsimmons, MD | |
|
1475 W Grand Ave, Port Washington, WI 53074 | |
| (262) 268-5100 | |
| (262) 268-5118 |
| Full Name | Mark R Fitzsimmons |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 1475 W Grand Ave, Port Washington, 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 |
|---|---|---|---|
| 1639284706 | NPI | - | NPPES |
| 31986200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33627 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| 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 R Fitzsimmons, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Mark R Fitzsimmons, MD 1475 W Grand Ave, Port Washington, WI 53074 Ph: (262) 268-5100 |
Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 | |
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962 | |
Adam E. Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Michael A Martella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074 Phone: 920-476-6400 Fax: 262-725-0630 | |
Scot A Wilfong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5118 | |
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
John P Bonavia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6998 |