| Sean E Wilson, DPM | |
|
2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | |
| (414) 328-8600 | |
| (414) 328-8686 |
| Full Name | Sean E Wilson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 29 Years |
| Location | 2424 S 90th St, West Allis, 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 |
|---|---|---|---|
| 1114917812 | NPI | - | NPPES |
| 43225100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 780025 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Calumet Hospital | Chilton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspen Orthopaedic And Rehabilitation Specialists S C | 8325930480 | 11 |
| Provider Name | Aspen Orthopaedic And Rehabilitation Specialists S C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366473597 PECOS PAC ID: 8325930480 Enrollment ID: O20040325000848 |
| Provider Name | Ascension Calumet Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean E Wilson, DPM 19475 W North Ave, Suite 201, Brookfield, WI 53045-4199 Ph: (262) 780-4400 | Sean E Wilson, DPM 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 Ph: (414) 328-8600 |
Mr. Randy S. Pauers, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7423 W Greenfield Ave, West Allis, WI 53214 Phone: 414-258-8945 Fax: 414-258-7712 | |
Foot & Ankle Specialists Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7423 W Greenfield Ave, West Allis, WI 53214 Phone: 414-328-3806 | |
Visiting Podiatry Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2514 S 102nd St, Suite 160b, West Allis, WI 53227 Phone: 414-255-0290 Fax: 855-422-5184 | |
Foot & Ankle Specialists Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7423 W Greenfield Ave, West Allis, WI 53214 Phone: 414-258-8945 Fax: 414-258-7712 |