| Healthdrive Podiatry Group | |
|
200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 | |
| (414) 535-8134 | |
| (414) 535-8135 |
| Full Name | Healthdrive Podiatry Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 200 S Executive Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679504427 | NPI | - | NPPES |
| CD2116 | Other | WI | MEDICARE RAILROAD |
| 43264300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Steven E Kaufman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235165002 PECOS PAC ID: 2567419682 Enrollment ID: I20050404000621 |
| Provider Name | David J Labadie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053419317 PECOS PAC ID: 4082634100 Enrollment ID: I20051207000285 |
| Provider Name | James P Deegan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427072487 PECOS PAC ID: 2769402270 Enrollment ID: I20060925000078 |
| Provider Name | Keith A Beck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104877034 PECOS PAC ID: 4183720691 Enrollment ID: I20070430000422 |
| Provider Name | Dalia Kradowsky Clausen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235188632 PECOS PAC ID: 3971603929 Enrollment ID: I20070705000489 |
| Provider Name | Jeffrey A Hengel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992803886 PECOS PAC ID: 8729121504 Enrollment ID: I20100202000210 |
| Provider Name | Andrew A Sengos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902905888 PECOS PAC ID: 5092859611 Enrollment ID: I20100220000350 |
| Provider Name | Renae A Luer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730287657 PECOS PAC ID: 5991849515 Enrollment ID: I20100220000362 |
| Provider Name | Susan A Evans |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003131061 PECOS PAC ID: 9133354970 Enrollment ID: I20131101000383 |
| Provider Name | Todd Powers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689716763 PECOS PAC ID: 2163543752 Enrollment ID: I20131122001367 |
| Provider Name | Krystle Troyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194130245 PECOS PAC ID: 3072881184 Enrollment ID: I20180131003298 |
| Provider Name | Katherine Hagmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619359510 PECOS PAC ID: 3678829124 Enrollment ID: I20180713000283 |
| Provider Name | Mark Kenneth Magnus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710340724 PECOS PAC ID: 2264729128 Enrollment ID: I20181015002148 |
| Provider Name | Marissa Ann Oberstadt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124512199 PECOS PAC ID: 6204237647 Enrollment ID: I20210623001897 |
| Provider Name | Brett Becker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730271545 PECOS PAC ID: 4486744430 Enrollment ID: I20230615002719 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthdrive Podiatry Group 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 Ph: (617) 964-6681 | Healthdrive Podiatry Group 200 S Executive Dr, Suite 101, Brookfield, WI 53005-4216 Ph: (414) 535-8134 |
Demetria Martin, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005 Phone: 888-964-6681 Fax: 888-662-0859 | |
Marissa Ann Oberstadt, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S Executive Dr Ste 101, Brookfield, WI 53005 Phone: 888-964-6681 Fax: 888-662-0859 | |
Foot And Ankle Health Center, S.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17000 W North Ave, Suite 102e, Brookfield, WI 53005 Phone: 262-821-3980 Fax: 262-821-3441 | |
Robby A Amiot, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19475 W North Ave, Ste 201, Brookfield, WI 53045 Phone: 262-395-4160 Fax: 262-395-4159 | |
Family Podiatry Centers, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17495 W. Capital Drive, Brookfield, WI 53045 Phone: 262-781-7117 Fax: 262-781-1976 | |
Dr. Renae Ann Luer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005 Phone: 888-964-6681 Fax: 888-662-0859 |