| Capelli Family Medical | |
|
7137 236th Ave Suite 103 Salem WI 53168-8975 | |
| (262) 496-5602 | |
| (262) 843-1166 |
| Full Name | Capelli Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 7137 236th Ave, Salem, Wisconsin |
| Authorized Official Name and Position | Peter Aj Capelli (OWNER/OPERATOR) |
| Authorized Official Contact | 2628434422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capelli Family Medical 7137 236th Ave Ste 103 Salem WI 53168-8975 Ph: (262) 843-4422 | Capelli Family Medical 7137 236th Ave Suite 103 Salem WI 53168-8975 Ph: (262) 496-5602 |
| NPI Number | 1962286096 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 6103279120 |
|---|---|
| Medicare Enrollment ID | O20240125004341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962286096 | NPI | - | NPPES |
| 1184253197 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Peter Alfred John Capelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184253197 PECOS PAC ID: 4385097302 Enrollment ID: I20240125004333 |
James M. Bury, Md, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7137 236th Ave Ste 103, Salem, WI 53168 Phone: 262-843-4422 Fax: 262-843-1166 | |
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