| Thomas R Puetz, MD | |
|
12203 Corporate Pkwy, Mequon, WI 53092-3388 | |
| (262) 387-8200 | |
| (262) 387-8271 |
| Full Name | Thomas R Puetz |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 35 Years |
| Location | 12203 Corporate Pkwy, Mequon, 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 |
|---|---|---|---|
| 1295765287 | NPI | - | NPPES |
| P00465809 | Other | WI | RR MEDICARE |
| 31770900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 32359 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Puetz, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Thomas R Puetz, MD 12203 Corporate Pkwy, Mequon, WI 53092-3388 Ph: (262) 387-8200 |
Marsha Fleming Davis, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1516 W Mequon Rd, Suite 103, Mequon, WI 53092 Phone: 262-242-0700 Fax: 262-242-0710 | |
George Albert Munkwitz, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2300 W. Bonniwell Rd., Mequon, WI 53097 Phone: 262-243-5861 | |
Norine T. Nazareth, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Luke F Rehrauer, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 12203 N Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Keely Bornor Browning, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd Ste G16, Mequon, WI 53097 Phone: 262-243-2500 | |
Drew M Elgin, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 13133 N Port Washington Rd, Suite G16, Mequon, WI 53097 Phone: 262-243-2500 Fax: 262-243-5395 | |
Dr. Deidre L Faust, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Road, Suite G18, Mequon, WI 53097 Phone: 262-243-5000 Fax: 262-243-2527 |