| Kornely Podiatry, Llc | |
|
2358 W Washington St, West Bend, WI 53095-2118 | |
| (262) 335-2930 | |
| (262) 335-2931 |
| Full Name | Kornely Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2358 W Washington St, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861449720 | NPI | - | NPPES |
| 43225400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 774-025 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Lisa G Kornely |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699732461 PECOS PAC ID: 0446215693 Enrollment ID: I20041130000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Kornely Podiatry, Llc 2358 W Washington St, West Bend, WI 53095-2118 Ph: (262) 335-2930 | Kornely Podiatry, Llc 2358 W Washington St, West Bend, WI 53095-2118 Ph: (262) 335-2930 |
Dr Terrance J Benda Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1626 S Main St, West Bend, WI 53095 Phone: 262-334-5137 Fax: 262-334-2009 | |
Dr. Lisa Gustine Kornely, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2358 W Washington St, West Bend, WI 53095 Phone: 262-335-2930 Fax: 262-335-2931 | |
Todd Ralph Rieter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 | |
Dr. Terrance J Benda, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1626 S Main St, West Bend, WI 53095 Phone: 262-334-5137 Fax: 262-334-2009 | |
Rieter Podiatry Associates Sc Podiatrist Medicare: Medicare Enrolled Practice Location: 626 Cedar St, West Bend, WI 53095 Phone: 262-338-0901 Fax: 262-338-9977 |