| William H Annesley Jr, MD | |
|
1547 Upper Pkwy S, Wauwatosa, WI 53213-2435 | |
| (414) 254-5610 | |
| (414) 755-7576 |
| Full Name | William H Annesley Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 49 Years |
| Location | 1547 Upper Pkwy S, 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 |
|---|---|---|---|
| 1407899552 | NPI | - | NPPES |
| 30454300 | Medicaid | WI | |
| 1407899552 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 21597 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
| 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 | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| William H Annesley Jr, MD 1547 Upper Pkwy S, Wauwatosa, WI 53213-2435 Ph: (414) 254-5610 | William H Annesley Jr, MD 1547 Upper Pkwy S, Wauwatosa, WI 53213-2435 Ph: (414) 254-5610 |
John Patrick Walsh, MD Urology Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226 Phone: 414-476-0430 Fax: 414-476-3242 | |
Kohldon Carter Boydston, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 545, Wauwatosa, WI 53226 Phone: 414-476-0430 | |
Christopher John Walsh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Ste 545, Wauwatosa, WI 53226 Phone: 414-476-0430 Fax: 414-476-3242 |