| Nicky Plementosh, MD | |
|
945 N 12th St, Milwaukee, WI 53233-1305 | |
| (414) 219-2000 | |
| Not Available |
| Full Name | Nicky Plementosh |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 945 N 12th St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467461053 | NPI | - | NPPES |
| 34186800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 44280-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicky Plementosh, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 219-2000 | Nicky Plementosh, MD 945 N 12th St, Milwaukee, WI 53233-1305 Ph: (414) 219-2000 |
Sofia Gabrilovich, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6673 | |
Irina Kostova Dimitrova, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr, Milwaukee, WI 53211 Phone: 414-585-1949 | |
Dr. Dwight P Cruikshank, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Froedtert & Med College Clin - East, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Kristine R. Graettinger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6600 Fax: 414-805-6622 | |
Mrs. Helena M Coke, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 'none', Milwaukee, WI 53224 Phone: 414-760-2934 | |
Paul Ginkel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 930 W Historic Mitchell St, Milwaukee, WI 53204 Phone: 414-383-9526 Fax: 414-389-3881 | |
Colleen Anne Keane-mullooly, RNC,MS,WHNP Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 302 N Jackson St, Milwaukee, WI 53202 Phone: 608-347-2297 |