Brian R Hirsch, MD | |
4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | |
(414) 425-5660 | |
(414) 425-9803 |
Full Name | Brian R Hirsch |
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Gender | Male |
Speciality | Pediatrics |
Location | 4855 S Moorland Rd Ste 150, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417941097 | NPI | - | NPPES |
1417941097 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 72635-20 (Wisconsin) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Brian R Hirsch, MD 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615 | Brian R Hirsch, MD 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 Ph: (414) 425-5660 |
Dr. Carl J Peluso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Sadia T Ansari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Dr. Olubunmi Abiola Olorundami, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Urgent Care Clinic - 3rd Floor, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Michael Gutzeit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151 Phone: 262-789-6020 Fax: 262-789-6025 | |
Chris M Zukowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Alina Huang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Roopa M. Bhupathi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, 3rd Floor, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 |