| Quentin Mattern, MD | |
|
2320 N Lake Dr, Room 3603, Milwaukee, WI 53211-4507 | |
| (414) 270-4932 | |
| Not Available |
| Full Name | Quentin Mattern |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2320 N Lake Dr, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003996158 | NPI | - | NPPES |
| 34162200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44079 (Wisconsin) | Primary |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669584983 PECOS PAC ID: 4981741709 Enrollment ID: O20160106001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Quentin Mattern, MD 4425 N Port Washington Rd, Attn: Clinic Credentialing, Glendale, WI 53212-1082 Ph: (414) 270-4932 | Quentin Mattern, MD 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211-4507 Ph: (414) 270-4932 |
Dr. Mary Grace Hernandez Lasquety, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3033 | |
Rachel Kaonan Her, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7878 N 76th St, Milwaukee, WI 53223 Phone: 414-586-5710 Fax: 414-586-5740 | |
Dr. Rodrigo Itable, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221 Phone: 414-281-0050 Fax: 414-281-0733 | |
Steven Bondow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Dr. Sabina Diehr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
R Compton Kurtz Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-0000 | |
Luz Stella Moreno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 W Mitchell St, Milwaukee, WI 53204 Phone: 414-383-8989 |