Brian M Huettl, MD | |
111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | |
(414) 290-6720 | |
(414) 290-6755 |
Full Name | Brian M Huettl |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 111 E Wisconsin Ave, Milwaukee, 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 |
---|---|---|---|
1447293352 | NPI | - | NPPES |
930128806 | Other | WI | MEDICARE RAILROAD |
036092823 | Medicaid | IL | |
34298600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-092823 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 44708-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
St Nicholas Hospital | Sheboygan, WI | Hospital |
Door County Medical Center | Sturgeon bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ihc-beaver Dam Emergency Physicians, Llc | 8123129657 | 18 |
Entity Name | Froedtert South Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
Entity Name | Door County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
Entity Name | Ihc-beaver Dam Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912109836 PECOS PAC ID: 8123129657 Enrollment ID: O20070727000027 |
Mailing Address | Practice Location Address |
---|---|
Brian M Huettl, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Brian M Huettl, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 |
Dr. Colleen Ann Crowe, M.D., M.P.H. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6469 | |
Natalia Rumas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2323 N Lake Dr, Milwaukee, WI 53211 Phone: 414-290-6720 Fax: 414-290-6755 | |
Adam C Ankrum, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202 Phone: 414-290-6720 Fax: 414-290-6755 | |
Andrea Michelle Kraus, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St Ste 100, Milwaukee, WI 53215 Phone: 414-647-5203 Fax: 414-858-2236 | |
Lisa Hubbard, CFNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5000 W Chambers St, Milwaukee, WI 53210 Phone: 414-447-2000 Fax: 414-874-4393 | |
Mckenna Jean Knych, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6450 Fax: 414-805-6464 | |
Dr. Alina M Winans, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-2000 Fax: 414-219-6650 |