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 | 7 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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1813 |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1040 |
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 |
Tate Matthew Naylor, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
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 |