Bradley Theodore John Straka, MD | |
2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 | |
(414) 455-0919 | |
(414) 455-0905 |
Full Name | Bradley Theodore John Straka |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 26 Years |
Location | 2607 N Grandview Blvd, Waukesha, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326031964 | NPI | - | NPPES |
34279600 | Medicaid | WI | |
070017188 | Other | WI | RAILROAD MEDICARE |
070017187 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 44600020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highlander Dermatology Llc | 5698051365 | 3 |
Entity Name | Highlander Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790216554 PECOS PAC ID: 5698051365 Enrollment ID: O20170412000004 |
Mailing Address | Practice Location Address |
---|---|
Bradley Theodore John Straka, MD 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 Ph: (262) 290-4540 | Bradley Theodore John Straka, MD 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188-1686 Ph: (414) 455-0919 |
Dr. Peter Mark Knabel, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Dr. Marie Dauenhauer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-369-6902 Fax: 262-369-6922 | |
Dr. J Christopher Braker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2717 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6649 Fax: 262-784-7936 | |
Dr. Christopher Thomas Burnett, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188 Phone: 262-696-0808 |