| One Medical Group, Inc. | |
|
95 N Moorland Rd Ste E9 Brookfield WI 53005-6021 | |
| (888) 663-6331 | |
| Not Available |
| Full Name | One Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 95 N Moorland Rd Ste E9, Brookfield, Wisconsin |
| Authorized Official Name and Position | Andrew S Diamond (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4155931455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical Group, Inc. 1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 Ph: (415) 658-6791 | One Medical Group, Inc. 95 N Moorland Rd Ste E9 Brookfield WI 53005-6021 Ph: (888) 663-6331 |
| NPI Number | 1801505813 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 2567623739 |
|---|---|
| Medicare Enrollment ID | O20240210000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801505813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Stephen Zeimantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922001478 PECOS PAC ID: 7719075399 Enrollment ID: I20230713002421 |
| Provider Name | Sashil Singh Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477734150 PECOS PAC ID: 5698820223 Enrollment ID: I20240227003709 |
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