| Mark S Polentini, MD | |
|
1284 N Summit Ave, Oconomowoc, WI 53066-4459 | |
| (262) 569-3080 | |
| Not Available |
| Full Name | Mark S Polentini |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 1284 N Summit Ave, Oconomowoc, 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 |
|---|---|---|---|
| 1699752030 | NPI | - | NPPES |
| 002 | Other | WI | BCBS |
| 34590000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 45242-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medical Associates Llp | 0648242065 | 17 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | Emergency Medical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861483190 PECOS PAC ID: 0648242065 Enrollment ID: O20040806000968 |
| Entity Name | Lake Country Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720060585 PECOS PAC ID: 4385607555 Enrollment ID: O20041109000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Polentini, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mark S Polentini, MD 1284 N Summit Ave, Oconomowoc, WI 53066-4459 Ph: (262) 569-3080 |
Dr. Timothy W Westlake, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342 | |
Paul H Rehnstrom, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342 | |
Jeffery N Glaspy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-3080 Fax: 770-237-1723 | |
Timothy J Hill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342 | |
James Joseph Harper, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 |