| Maxwell Davis, MD | |
|
2455 N 124th St, Brookfield, WI 53005-4630 | |
| (414) 477-1504 | |
| Not Available |
| Full Name | Maxwell Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2455 N 124th St, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578583613 | NPI | - | NPPES |
| 000 | Other | WI | BCBS |
| 34968400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 48659-020 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 036-113273 (Illinois) | Secondary |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477730356 PECOS PAC ID: 9739260019 Enrollment ID: O20091113000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Davis, MD 2455 N 124th St, Brookfield, WI 53005-4630 Ph: (414) 477-1504 | Maxwell Davis, MD 2455 N 124th St, Brookfield, WI 53005-4630 Ph: (414) 477-1504 |
Gary Swart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-2058 | |
Subhashish Agarwal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-827-9200 Fax: 262-827-9858 | |
Dr. Jonathan Robinson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 | |
Anthony M Griffay, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19333 W North Ave, Elmbrook Memorial Hospital, Brookfield, WI 53045 Phone: 262-785-2060 | |
Mark D Bruce, D. O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-2060 | |
Dr. Randall Ruvalcaba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 414-258-3939 |