| Chestnut Medicine Of Wi Ltd | |
|
1451 Cleveland Ave Waukesha WI 53186-3876 | |
| (262) 547-2123 | |
| (262) 547-6204 |
| Full Name | Chestnut Medicine Of Wi Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Cleveland Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | Omair Siraj (CEO) |
| Authorized Official Contact | 7039648199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Medicine Of Wi Ltd Po Box 33 Bedford Park IL 60499-0033 Ph: (703) 964-8199 | Chestnut Medicine Of Wi Ltd 1451 Cleveland Ave Waukesha WI 53186-3876 Ph: (262) 547-2123 |
| NPI Number | 1043805930 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 05/27/2022 |
| Medicare PECOS PAC ID | 2567870066 |
|---|---|
| Medicare Enrollment ID | O20210422000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043805930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeanne M Denk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962678086 PECOS PAC ID: 2961654934 Enrollment ID: I20121221000020 |
| Provider Name | Deanne Evelyn Dunder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467975383 PECOS PAC ID: 8325301195 Enrollment ID: I20180409000140 |
| Provider Name | Tracy A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932682473 PECOS PAC ID: 1850639733 Enrollment ID: I20190219002600 |
| Provider Name | Neil Kishor Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730342593 PECOS PAC ID: 3274673777 Enrollment ID: I20210422000955 |
| Provider Name | Raeanna Monte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518550003 PECOS PAC ID: 6103234554 Enrollment ID: I20210423000145 |
| Provider Name | Pamela K Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734910 PECOS PAC ID: 7214330174 Enrollment ID: I20210729001813 |
Waukesha Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Suite 201, Waukesha, WI 53188 Phone: 262-548-6903 Fax: 262-928-4075 | |
Spring City Health Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 N Grand Ave, Waukesha, WI 53186 Phone: 262-547-3055 | |
Verma Medical Services, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite#409, Waukesha, WI 53188 Phone: 262-928-8610 Fax: 262-928-8615 | |
Prohealth Care Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N4w22370 Bluemound Rd, Waukesha, WI 53186 Phone: 262-928-4880 Fax: 262-547-8820 | |
Nuderma Med Spa And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188 Phone: 262-716-7580 | |
Paul B Doenier Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Delafield St Ste 300, Waukesha, WI 53188 Phone: 262-446-0955 Fax: 262-446-0055 |