| Drs Decheck And Mataczynski Md Sc | |
|
3805 B Spring Street Suite 250 Racine WI 53405 | |
| (262) 634-6679 | |
| (262) 634-7935 |
| Full Name | Drs Decheck And Mataczynski Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 3805 B Spring Street, Racine, Wisconsin |
| Authorized Official Name and Position | Mark E Decheck (PRESIDENT) |
| Authorized Official Contact | 2626346679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Decheck And Mataczynski Md Sc 3805b Spring St Suite 250 Mount Pleasant WI 53405-1641 Ph: (262) 634-6679 | Drs Decheck And Mataczynski Md Sc 3805 B Spring Street Suite 250 Racine WI 53405 Ph: (262) 634-6679 |
| NPI Number | 1376614636 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376614636 | NPI | - | NPPES |
| 30593800 | Medicaid | WI | |
| 30772700 | Medicaid | WI | |
| 0000 90530 | Other | WI | MEDICARE NUMBER FOR CORPORATION |
| 25991 | Other | WI | LICENSE |
| 27946 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Primary |
Bruce A Luccas, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Ste 130, Racine, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Northwestern Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Green Bay Rd, Suite 200, Racine, WI 53406 Phone: 262-631-0474 Fax: 262-631-0476 | |
Family Care Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5439 Durand Ave, Suite 202, Racine, WI 53406 Phone: 262-598-9205 | |
Kenosha Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 Center St, Racine, WI 53403 Phone: 262-764-3608 Fax: 262-764-3636 | |
Racine Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Dr Martin Luther King Dr # 17, Racine, WI 53404 Phone: 262-800-7242 | |
Lotus Comprehensive Health Care, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Indiana St, Racine, WI 53405 Phone: 262-497-1000 | |
Tiferet Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5439 Durand Ave, Suite 200, Racine, WI 53406 Phone: 262-554-6869 Fax: 262-554-6883 |