| Timothy R Enright, MD | |
|
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | |
| (414) 434-0461 | |
| (414) 434-0467 |
| Full Name | Timothy R Enright |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 10945 N Port Washington Rd Ste 201, 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 |
|---|---|---|---|
| 1487688016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 49610 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Waukesha Sc | 3274520648 | 30 |
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| 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 | Radiology Waukesha Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730175258 PECOS PAC ID: 3274520648 Enrollment ID: O20040428000089 |
| Entity Name | Gbr Sheboygan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467529917 PECOS PAC ID: 1951341064 Enrollment ID: O20050509000490 |
| Entity Name | Orthopedic & Sports Medicine Specialists Of Green Bay Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760670145 PECOS PAC ID: 9739264714 Enrollment ID: O20080314000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R Enright, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (414) 434-0461 | Timothy R Enright, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (414) 434-0461 |
Timothy L Workman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
John Tomashek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Eric M Dorn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Cynthia Rice, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Djerrick Cu Tan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Benjamin Broghammer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Michael Braun, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 |