| Homestead Family Health Center | |
|
4922 Columbia Rd Suite 100 Cedarburg WI 53012-9188 | |
| (262) 375-1580 | |
| (262) 375-9452 |
| Full Name | Homestead Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4922 Columbia Rd, Cedarburg, Wisconsin |
| Authorized Official Name and Position | Thomas John Shewczyk (OWNER) |
| Authorized Official Contact | 2623751580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Family Health Center 4922 Columbia Rd Suite 100 Cedarburg WI 53012-9188 Ph: (262) 375-1580 | Homestead Family Health Center 4922 Columbia Rd Suite 100 Cedarburg WI 53012-9188 Ph: (262) 375-1580 |
| NPI Number | 1912277906 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Medicare PECOS PAC ID | 4880855154 |
|---|---|
| Medicare Enrollment ID | O20120412000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912277906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19364 (Wisconsin) | Primary |
| Provider Name | Thomas J Shewczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013007046 PECOS PAC ID: 8527229806 Enrollment ID: I20120412000687 |
Salvador V. Del Rosario,m.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N54w6135 Mill St, Suite 600, Cedarburg, WI 53012 Phone: 262-375-1130 Fax: 262-375-7006 | |
Jaime D. Cabatingan, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N28w5901 Lincoln Blvd, Cedarburg, WI 53012 Phone: 262-375-2800 Fax: 262-375-2848 | |
Donald J. Meyer, Dosc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W62n248 Washington Ave, Cedarburg, WI 53012 Phone: 262-375-1380 Fax: 262-375-4438 | |
Julie Chicks M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4922 Columbia Rd, Cedarburg, WI 53012 Phone: 262-375-1580 Fax: 262-375-9452 | |
North Shore Concierge Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W62n225 Washington Ave, Cedarburg, WI 53012 Phone: 262-421-5133 Fax: 855-832-0258 | |
Jaime D. Cabatingan, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N28w5901 Lincoln Blvd, Cedarburg, WI 53012 Phone: 262-375-2800 Fax: 262-375-2848 | |
Janice Alexander Rn, Md,sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: W62n225 Washington Ave, Cedarburg, WI 53012 Phone: 262-376-1150 Fax: 262-376-1154 |