| Stephanie Anne Momper, MD | |
|
N112w15415 Mequon Rd, Germantown, WI 53022-3410 | |
| (262) 250-7800 | |
| Not Available |
| Full Name | Stephanie Anne Momper |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | N112w15415 Mequon Rd, Germantown, 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 |
|---|---|---|---|
| 1194899005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50349 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 50349 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| 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 | Wisconsin Health Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497768659 PECOS PAC ID: 3072401298 Enrollment ID: O20040309000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Anne Momper, MD 4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082 Ph: (262) 250-7800 | Stephanie Anne Momper, MD N112w15415 Mequon Rd, Germantown, WI 53022-3410 Ph: (262) 250-7800 |
Mark J Kaeppler, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: W180n11070 River Ln, Germantown, WI 53022 Phone: 262-535-8400 | |
Dr. Jacob Jay Adashek, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: W180n11070 River Ln, Germantown, WI 53022 Phone: 262-532-9755 | |
Efstathios S Naum, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: W180n11070 River Lin, Germantown, WI 53022 Phone: 262-532-8441 | |
Katie Elizabeth Cohen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: W180n11070 River Ln, Germantown, WI 53022 Phone: 262-535-8400 | |
Dr. Timothy F Goggins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: W180n11070 River Ln, Germantown, WI 53022 Phone: 262-535-8400 | |
Dr. Avi N Bernstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: N112w15415 Mequon Rd, Germantown Clinic, Germantown, WI 53022 Phone: 262-250-7800 Fax: 262-257-7982 |