| Dr Zachary Richardson, MD | |
|
125 Hospital Dr, Watertown, WI 53098 | |
| (920) 245-5741 | |
| Not Available |
| Full Name | Dr Zachary Richardson |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 125 Hospital Dr, Watertown, 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 |
|---|---|---|---|
| 1437544863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125066444 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 69363-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apogee Medical Group Wisconsin Sc | 2365677952 | 32 |
| Entity Name | Apogee Medical Group Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629415591 PECOS PAC ID: 2365677952 Enrollment ID: O20131107001094 |
| Entity Name | Apogee Medical Group Waukesha Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528544608 PECOS PAC ID: 1153670054 Enrollment ID: O20180827002216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Richardson, MD 1260 N Prospect Ave Apt 707, Milwaukee, WI 53202-3097 Ph: (815) 297-6384 | Dr Zachary Richardson, MD 125 Hospital Dr, Watertown, WI 53098 Ph: (920) 245-5741 |
Edward Fairfax Frost, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094 Phone: 262-928-5100 | |
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Alan L. Detwiler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4210 |