| Quickmd Medical Group Pa | |
|
1904 E Lafayette Pl Milwaukee WI 53202-1368 | |
| (888) 878-4256 | |
| Not Available |
| Full Name | Quickmd Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1904 E Lafayette Pl, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Katrina Merritt (SENIOR MANAGER, CREDENTIALING) |
| Authorized Official Contact | 8135965726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quickmd Medical Group Pa 3865 Holcomb Bridge Rd Peachtree Corners GA 30092-2205 Ph: (888) 878-5726 | Quickmd Medical Group Pa 1904 E Lafayette Pl Milwaukee WI 53202-1368 Ph: (888) 878-4256 |
| NPI Number | 1114647641 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2961898648 |
|---|---|
| Medicare Enrollment ID | O20220930001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114647641 | NPI | - | NPPES |
| Provider Name | Talib N Omer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396039822 PECOS PAC ID: 2668777152 Enrollment ID: I20220930001279 |
| Provider Name | Shahzad Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700265030 PECOS PAC ID: 3779835103 Enrollment ID: I20220930001317 |
| Provider Name | Joshua Tessier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023271087 PECOS PAC ID: 0143374108 Enrollment ID: I20230407000273 |
| Provider Name | Michael John Schiesser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215092507 PECOS PAC ID: 7911974449 Enrollment ID: I20230407000347 |
| Provider Name | Srinu Takkallapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841496783 PECOS PAC ID: 4486716537 Enrollment ID: I20230407000393 |
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