Amy L Diestelhorst, MD | |
W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 | |
(262) 255-2500 | |
Not Available |
Full Name | Amy L Diestelhorst |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | W180n7950 Town Hall Rd, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124007901 | NPI | - | NPPES |
34406600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 45593 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Amy L Diestelhorst, MD W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 Ph: (262) 255-2500 | Amy L Diestelhorst, MD W180n7950 Town Hall Rd, Menomonee Falls, WI 53051-4049 Ph: (262) 255-2500 |
Rochelle A Sohl, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-251-1000 | |
Susan Kroener, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500 | |
Gary Valestin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500 | |
Anuradha Raman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500 | |
Kerry Lee Mattingly, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-250-5158 Fax: 262-532-9505 | |
Kathleen E Horowitz, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 Fax: 262-251-7128 |