| Roger D Watson, MD | |
|
2750 Golf Road, Prohealth Care Medical Associates, Delafield, WI 53018 | |
| (262) 928-4900 | |
| (262) 928-4960 |
| Full Name | Roger D Watson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 2750 Golf Road, Delafield, 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 |
|---|---|---|---|
| 1932172327 | NPI | - | NPPES |
| 34349700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42990 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 42990 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prohealth Home Care | Waukesha, WI | Home health agency |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 469 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger D Watson, MD N17 W24100 Riverwood Drive Suite 250, Prohealth Care Medical Associates Inc., Waukesha, WI 53188-1177 Ph: (262) 928-4100 | Roger D Watson, MD 2750 Golf Road, Prohealth Care Medical Associates, Delafield, WI 53018 Ph: (262) 928-4900 |
Dr. Rania Louise Dempsey, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Genesee St, Delafield, WI 53018 Phone: 262-719-3037 | |
Mark Schaten, Internal Medicine Medicare: Medicare Enrolled Practice Location: S4w31227 Hidden Holw, Delafield, WI 53018 Phone: 920-948-9301 | |
Dr. Susan Kathleen Russler, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: S5w31452 Hidden Holw, Delafield, WI 53018 Phone: 262-201-4032 | |
Dr. Hayes H Hatfield, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2374 Lake View Ct, Delafield, WI 53018 Phone: 262-646-2378 | |
Dr. David W Cullinane, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2808 Heritage Dr, Delafield, WI 53018 Phone: 262-354-8415 Fax: 414-646-3002 |