| Ryan Puccia, MD | |
|
1155 N Mayfair Rd Dept Of, Wauwatosa, WI 53226-3462 | |
| (414) 955-5990 | |
| (414) 955-6282 |
| Full Name | Ryan Puccia |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 8 Years |
| Location | 1155 N Mayfair Rd Dept Of, Wauwatosa, 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 |
|---|---|---|---|
| 1104357425 | NPI | - | NPPES |
| 1104357425 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 70160 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | 70160 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Community Memorial Hospital | Menomonee falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1105 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Puccia, MD 1155 N Mayfair Rd Dept Of, Wauwatosa, WI 53226-3462 Ph: (414) 955-5990 | Ryan Puccia, MD 1155 N Mayfair Rd Dept Of, Wauwatosa, WI 53226-3462 Ph: (414) 955-5990 |
Anthony A Rieder, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2727 N Mayfair Rd Ste I, Wauwatosa, WI 53222 Phone: 414-727-0910 Fax: 414-727-9020 |