| Stacy L Lynch, MD | |
|
1700 W Paradise Dr, West Bend, WI 53095-9795 | |
| (262) 334-3451 | |
| (262) 306-2964 |
| Full Name | Stacy L Lynch |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 22 Years |
| Location | 1700 W Paradise Dr, West Bend, 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 |
|---|---|---|---|
| 1346214673 | NPI | - | NPPES |
| 1346214673 | Medicaid | WI | |
| 188617700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 51189 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Community Hospital West Bend | West bend, WI | Hospital |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
|---|---|
| Stacy L Lynch, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 | Stacy L Lynch, MD 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 |
Samuel Jon Kortes, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 531 E Washington St, West Bend, WI 53095 Phone: 872-231-3162 | |
Dr. Bradley Zenor Johnson, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1190 E Paradise Dr, West Bend, WI 53095 Phone: 262-306-6319 |