| Neurology And Pain Treatment, Ltd. | |
|
2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 | |
| (414) 453-7780 | |
| Not Available |
| Full Name | Neurology And Pain Treatment, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2600 N Mayfair Rd Ste 1120, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Julie Sura (OFFICE MANAGER) |
| Authorized Official Contact | 4144537780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Pain Treatment, Ltd. 2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 Ph: (414) 453-7780 | Neurology And Pain Treatment, Ltd. 2600 N Mayfair Rd Ste 1120 Wauwatosa WI 53226-1308 Ph: (414) 453-7780 |
| NPI Number | 1982803102 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 1456368778 |
|---|---|
| Medicare Enrollment ID | O20060313000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982803102 | NPI | - | NPPES |
| 30033300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 19841 (Wisconsin) | Primary |
| Provider Name | Neal H Pollack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497833719 PECOS PAC ID: 3173530490 Enrollment ID: I20060313000026 |
| Provider Name | Bridget Erin Harcus-wickersham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437258589 PECOS PAC ID: 5597762260 Enrollment ID: I20061023000524 |
| Provider Name | Avi Elizabeth Domnitz Gebet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619125622 PECOS PAC ID: 0547416398 Enrollment ID: I20241111002510 |
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