| Mary E Lewis, MD | |
|
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
| (262) 836-7300 | |
| (262) 836-7301 |
| Full Name | Mary E Lewis |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982634523 | NPI | - | NPPES |
| 930068405 | Other | WI | MEDICARE RAILROAD |
| 1982634523 | Medicaid | WI | |
| 31579500 | Medicaid | WI | |
| 930044469 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 28548-020 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Lewis, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 | Mary E Lewis, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300 |
Dr. Erik Paul Gierahn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Dr. Michael Norbert Mangold, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St, #120, West Bend, WI 53095 Phone: 262-338-8100 Fax: 262-338-0405 | |
Therese J Gesteland, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Renee R Jahnke, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 | |
Joseph R Schwartz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-334-5321 |